Health Services Resources
The Springfield School District is required to keep immunization forms, exemptions, medical authorizations, and permission slips on file for all students who receive health services from the district. You will find these forms and authorizations in the links below and on the right hand side of the page.
If you are unable to find the form you are looking for, please contact your school’s nurse for assistance.
Elm Hill School
Mary Jo Christman, BSN, RN
Alanna Cox, Health Secretary
802-885-5154
Union Street School
Cailin Barlow, RN
Jennifer Spaulding, Health Secretary
802-885-5155
Riverside Middle School
Renée Epler, RN
Nancy Davall, Health Secretary
802-885-8404
Springfield High School
Jennifer McKinnon, RN
April Todt, Health Secretary
802-885-7900
You will also find numerous links to a wide range of community resources and services in our Resource Guide, which you can access by clicking on the link below.
Community Resource Guide
The Vermont Department of Health provides information and recommendations on a range of vaccines, as well as the steps necessary for families who wish to be exempt from the Department's immunization requirements.
You’ll find that information, and the required forms, in the links below.
Religious Immunization Exemption Form
Medical Immunization Exemption Form
Documentation of Varicella Disease (Chicken Pox)
SSD Health Office
Annual Asthma Action Plan
Allergy and Anaphylaxis Emergency Plan
School Sports Clearance FAQs
Well Exam - Sports Participation Clearance Form
Prescription Medication Order and Permission form
Non-prescription Order and Permission Form