Common Ground is committed to the health and safety of our students, and are here to answer questions! For all questions related to medical forms, student allergies and medications, please reach out to our school nurse:

Nurse Dana Perry
203.389.4333 x1206
dana.perry@commongroundct.org

Common Health Forms and Information:

Families, it’s critical to submit updated physical health forms for our students.  Please complete and submit these forms promptly.  Not only do these forms serve as crucial documentation for student health, but they also ensure that the school is aware of any allergies or medications needed by our students.

All students, new returning or transfer, must have a Physicians Standing Order for Administration of OTC Medication form signed and returned in order for me to administer an OTC for headache, nausea, rash/allergies or pain.

Please fax all completed documents to Nurse Dana Perry at 203-387-1081.

Need another form but don’t see it? Check the State of CT School Nursing Documents/Forms Website or email Nurse Lizbeth Moreno Velez at nurse@commongroundct.org.