Set Your Location to See Relevant Information

Setting your location helps us to show you nearby providers and locations based on your healthcare needs.

Stamford Health is committed to stopping the spread of COVID-19. For details regarding the resumption of services and reopening of facilities, how to help and FAQs, visit here. 

Please fill out the application. A completed application consists of your immunization record including your PPD test for tuberculosis (within the last 12 months).

Fill out this form yourself with your PARENT/GUARDIAN:

JUNIOR VOLUNTEER FORM

Email this link to your GUIDANCE COUNSELOR or TEACHER TO FILL OUT:

STUDENT VOLUNTEER RECOMMENDATION

PRINT AND HAVE YOUR DOCTOR FILL OUT:

HEALTH REFERENCE FORM

Scan and email the health reference to cprice@stamhealth.org 

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