Important Forms

New students should return their required forms before August 1. Returning students should return all required forms to Health Services after August 15. Use mailing address or fax number at right. Required forms are in bold, followed by an asterisk.

For New Students & Parents


Explanation of Required Health Information ~ 116K

CareFlow* CareFlow, our electronic student health record, must be completed on all new students. A link will be available in the right sidebar on Parent Central under "Secure Links" by July 1. Please note that you cannot see secure links unless you are logged in. Your login information will be mailed during the last week in June. Please log on at your earliest convenience to complete the form, but no later than August 1

The following forms will be available on CareFlow, but if you have scheduled your student's physical prior to July 1, we provide them here for your convenience:

Physical/Immunization Form for New Students* ~ 119K

Tuberculosis Risk Assessment Form * ~32K 

Permission to Administer Medications * (mandatory if students are on prescription medication) ~61K

Information/Application for Credit-Salisbury Pharmacy ~262K 

 

For Returning Students & Parents


What Returning Students Need to Do ~75K

Health Form for Returning Students * ~ 80K

Permission to Administer Medications * (mandatory if students are on prescription medication) ~61K

Information/Application for Credit-Salisbury Pharmacy ~262K 

Sickness-Injury Form*
This is a personalized form. Please contact Ellen Fontaine in the Business Office if you need another copy.

Every Hotchkiss student is required to have insurance coverage. If you do not carry your own policy, click here for information about the plan offered through the School. 


Page last updated May 8, 2013.

Return Forms To

Health Services Department
Wieler Health Center
The Hotchkiss School
11 Interlaken Road
Lakeville, CT 06039

Fax: (860) 435-2422

Questions?

Please contact us:
(860) 435-3226
healthcenter@hotchkiss.org