School Based Health Center - Norwich Free Academy

What is a school-based health center?

The UCFS school-based health center (SBHC) at Norwich Free Academy is a doctor’s office inside of your child’s school. The services are provided by an APRN (advanced practice registered nurse) and behavioral health clinician who are experts in adolescent health and are employed by UCFS. The intention of the UCFS SBHC is to supplement the care your child receives at their pediatrician’s office. The UCFS SBHC staff communicates with your child’s primary care physician to keep them updated about the care your child receives at the UCFS SBHC.

The goals of a SBHC are to:

Help students stay in school to receive needed care rather than have to leave campus.
Improve students’ academic achievement by taking care of medical, dental and behavioral health needs that can make learning difficult.
Remove barriers to care such as lack of transportation or insurance and to support school staff through wellness and educational events.

What services are provided?

UCFS SBHC services include: yearly well-child examinations, vaccinations, flu shots, sports physicals, acute care visits (e.g. sick visits, lacerations, injuries, etc.) and chronic care visits (e.g. asthma, ADHD, etc.). We encourage early intervention and prevention through prompt medical treatment and education. The behavioral health clinician provides mental health assessments, substance abuse screenings and counseling. The APRN and behavioral health clinician work closely with the school nurse to ensure effective communication. The dental hygienist will be on site several days each year to provide oral health screening, x-rays, fluoride treatment and cleanings.

Who can be seen?

Does my child be need a signed consent form?

When a student arrives at the SBHC for either an acute or chronic visit, we verify that the child has a signed consent form. If they do not have a signed consent form, we attempt to contact the child’s parent/guardian for a one time verbal consent. This notifies you that your child is at the UCFS SBHC and you then have the option to allow your child to be seen with your verbal permission or for them not to be seen at that time. A verbal permission is only good for that day’s visit and may only be obtained once per school year. If your child comes into the UCFS SBHC for subsequent visits without a consent form signed by their parent/guardian they will be unable to be seen that day without a parent/guardian present.

Will services be billed to my insurance?

How do I register my child for the SBHC?

Please complete the enrollment form below. For questions, please call the SBHC line at 860-822-2803.

NEW!!! All SBHC forms are now electronic. In order to properly complete the enrollment form, you will need the following items:

General demographic/personal information
Medical/behavioral health/dental insurance information (if you are insured)
Social security number (if available)
General medical history information

If at any point during the completion of the forms you need to step away and complete at a later date, please use the “finish later” option on the top right of the form.

Forms in English
SBHC Enrollment Form ONLY
SBHC Enrollment Form and Flu Vaccine Consent Form
Flu Vaccine Consent Form
Vaccine Consent Form
PPD Placement Form

Forms in Spanish
SBHC Enrollment Form ONLY – Spanish
SBHC Enrollment Form and Flu Vaccine Consent Form – Spanish
Flu Vaccine Consent Form – Spanish
Vaccine Consent Form – Spanish
PPD Placement Form – Spanish

Forms in Haitian Creole
SBHC Enrollment Form ONLY – Haitian Creole
SBHC Enrollment Form and Flu Vaccine Consent Form – Haitian Creole
Flu Vaccine Consent Form – Haitian Creole
Vaccine Consent Form – Haitian Creole
PPD Placement Form – Haitian Creole