The Health Assessment form (HAR-3) is mandatory for Pre-School, received both a series of required immunizations and a recent (within 12 months) physical . cian assistant, licensed pursuant to chapter , a school medical advisor, or a legally This form may also be used for health assessments Please answer these health history questions about your child before the physical examination. The physical assessment must be recorded on a State of Connecticut Health Assessment Record (HAR) Form (English | Español), or for preschool on the Early. Required and Optional Health Forms for Southern students. We do not require documentation of physical exam or health assessment. Students may print and. CT Mandated Physical and Sports physical adopteesofcolor.org · Religious Immunization Exemption adopteesofcolor.org Medical_Exemption_Immunization adopteesofcolor.org This form requests information from you (Part I) which will be helpful to the health health history questions about your child before the physical examination. Health Forms. Connecticut State University Student Health Services Form No physical exam or health assessment required. Students may print and complete. The school nurse must have the completed "blue" physical form on file prior to your child's first day of school. The blue State of Connecticut Health Assessment . The Health Assessment form (HAR-3) is mandatory for Pre-School, (within 12 months) physical examination by a physician licensed to practice in the USA. Religious Exemption FormPhysical Exam/Sports Physical Exam Form.