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Friday, September 22, 2023

Bristol – Burlington Health District

Healthy People, Healthy Communities, Keeping Your Family Safe, Keeping Your Family Healthy!

  • Welcome
    • Contact Us!
    • BBHD Staff
    • Directions to BBHD
    • BBHD Privacy Policy
    • BBHD Job Openings & Employment Applications
    • Fee Schedule
    • Board of Health
  • Urgent Public Health Messages!
  • Oral Health
  • School Health/Immunizations
    • Immunizations
    • School Health
    • School Oral Health
    • Forms
    • General Information
  • Public Health Nursing
  • Environmental Health
    • Mosquitos & Ticks
    • Body Arts
    • Child Care Centers and Related Information
    • Food Safety Program and Licensing: APPLICATIONS HERE
      • Temporary Event Training
    • Massage Facilities
    • Hair and Nail Salons
    • Housing Code and Property Management
    • Air Quality
    • Lead
    • Mold
    • Private Wells
    • Radon
    • Septic and Sewage
    • Swimming and Bathing Area Inspection
  • Opioids vs. Opiates
  • Sexually Transmitted Infections
  • COVID-19 Information
  • Emergency Preparedness Guide
  • Maternal-Infant & Family Outreach Program
  • E-Search Address

  • Home
  • Child Care Centers and Related Information
  • Forms

Forms

School Health Forms

  1. 2022 Health Assessment Form
  2. 2022 Early Childhood Assessment Record
  3. Medication authorization form 2022
  4. 2022 Emergency Information Card
  5. 2022 Emergency Information Card-Spanish 
  6. Health History Form
  7. Health History Form- Spanish
  8. Immunization Exemption and Exclusion Forms – Medical
  9. Immunization Exemption and Exclusion Forms – Medical – Espanol
  10. Immunization Exemption and Exclusion Forms – Medical – Polish

Search BBHD’s Site Here!

Office Hours

BBHD Hours: 8am-4pm. (Mon-Fri)

Emergency Contact Information

In the event of an after- hours or weekend Public Health EMERGENCY, use the following contact information:

Bristol – 860-584-3000 

Burlington – 860-673-2544

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