Downloadable Forms

Fee Schedule

• Fees for children and grandchildren of HSC employees
• Fees for children of community members

Program Policies

• Parent Handbook
• Handbook Acknowledgment

Forms for Enrollment

• Application for Enrollment
• Child Care Center Wait List Form
• Child and Family Information
• Parent Permissions
• Connecticut Early Childhood Health Assessment Record ( to be completed by parent)
• Part II - Health Evaluation (to be completed by health care provider)
• Connecticut Immunization Schedule
• Snack Menu
• Parent Involvement Survey
• Release of Photographs and of Liability

Forms for Medication Administration

• Emergency Health Care Plan (Required for emergency medications)
• Prescription Medication Authorization (Required for emergency meds, epi-pen, inhalers, etc…)
• Non-Prescription, Topical Medication Authorization (Required for sunscreen, diaper creams, etc…)