SL]FFIELD ACADEMY - Suffield Academy

SUFFTELD ACADEMY
LIST OF ENCLOSURES
A great deal of information is enclosed for your review and we will be happy to answer any questions that you have.
It is important that you read this material carefully, fill out the appropriate forms, and return them to Kim Goodwin in the
Headmaster's Ofhce as soon as possible. The required forms are due by July L5 and are indicated on the list below
with an asterisk (*). The other enclosures are optional forms or informational material.
1. xDatabase Yeriflrcation Form. Please make any corrections in the information (address, phone and fax, e-mail,
nicknames, etc.) on the form so that lve may update our records, if necessary. We will use your nickname for
nametags and letter salutations.
2. A revised Academic Year Calendar is included so that you may make plans for the coming year. Please note arrival
dates and times for the opening of school. Students invited to retum early for varsity athletics will be contacted by
coaches. New international students will find a schedule enclosed for registration on Thursday, September 8.
Please note the dates of Suffield vacations so that you can make travel arrangements that do not interfere lvith the
official academic schedule. Because exams are scheduled up to the final hour of a term, students must plan their
travel accordingly. If a student cannot leave for home on the final day of a term or on any another vacation departure
day due to flight schedules, he/she must notify the Dean of Students Office so that accommodations and supervision
may be provided for that night.
MEDTCAL FORMS-The appropriate forms-as indicated below-must be completed eachyear and we must have them
on file in the Suffield Academy Health Center before the start of school in order for your child to take part in any segment
of our program. A student may not participate in any athletic events-including pre-seøson varsity sports or orientation
activities-until øll the required medicalforms øre onfiIe in the Heølth Center.
3. *Explanation of Health Center Policies and Acknowledgement of Suffïeld Academy Medical Philosophy.
Please review the financial policies relating to services at the Health Center. These include routine services,
provided by the nursing staff, which are covered by tuition. There is a charge, however, for services provided by
the school physician, for transportation to off campus medical appointments, and for medication, etc. Please revielv,
sign and return Suffield's medical philosophy and expectations related to annual physicals and prescription
medication storage.
4a. *Physical Examination Record for returning students. Please schedule a physical for your child and have the form
oR completed, signed by the physician, and returned by July 75. The physical must høve been done within one ie&r.
4b. *Physical Examination Record for new students. Please schedule a physical for your child and have the form
completed (with the Immunization History-form #4), signed by the physician and retumed by July 15.
The physical ntust høve been done within one lear.
5. *Immunization History for new studcnts. This form should bc givcn to thc physician lvith thc Physical Examination
Record (form #4b).
6. *Permission for Medical or Surgical Treatment for all students. Suffield Academy does not provide medical or
accident insurance for its students. (See #9 below.) Expenses incurred as a result of accident or illness are referred
directly to you or to your insurance carrier. Please be sure to also complete the section regarding insurance coverage,
located on the bottom of the form, so that we may more efficiently help to process any claims.
7. *Authorization for the Administration of Prescription Medicine by School Personnel (if applicable).Any
medication prescribed for a student must be reported to and dispensed by the Health Center. All conditions requiring
prescription medication must be monitored by a physician. Connecticut State statute requires a physician's or dentist's
written order and the parent's/guardian's authorization for a nurse to administer prescription medicine. Medications
must be in a pharmacy-prepared blister pack and labeled with the student's name, name of the drug, strength, dose,
frequency, physician's or dentist's name, and date of the original prescription. Each prescription requires an
individual form. Photocopies of this form are acceptable.
8. *Permission to Administer Influenza Vaccine. Each fall the Health Center offers flu shots to students. You must
sign and return the form indicating lvhether or not you wish your child to receive the vaccine. Please carefully read
the information on the back of the permission form for complete details about the vaccine. The immunity provided
by this vaccine lasts for approximately three months. Students who are allergic to eggs or chicken feathers are not
eligible to participate in this clinic.
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