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Public Health Notice: Stamford Health is committed to stopping the spread of infectious diseases such as coronavirus. Learn the latest about the virus on the CDC website. For guidelines on when to take action click 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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