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Physical Forms

Physical & Immunization Requirements

Birth- Age 5
Physical Form

Age 6+ Physical Form

Medication Administration

Medication Administration Information

New Medication Form

Tylenol/Motrin Medication Form

Illness Guidelines

Illness Guidelines

Vision/Hearing Screening

Action Plans

Allergy Action Plan

Asthma Action Plan

Seizure Action Plan

Catholic School

51 North Cliff Street
Ansonia, CT 06401
(203) 734-0855

© 2025 by Assumption School

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