Health Clinic Forms and Information

Rhode Island DOH Immunization Requirements

 Rhode Island Required Vaccine Schedule

Temporary Immunization Exemption Certificate

Religious Immunization Exemption Certificate

Medical Immunization Exemption Certificate

Medication Authorization Form

Asthma Action Plan

Food Allergy Anaphylaxis Care Plan

State of RI School Physical Form

Nurses Contact Information

South Kingstown High School

Nurse: Rachel Guidera
Email: [email protected]
Phone: 401-360-1020
Fax: 401-360-1464

Broad Rock Middle School

Nurse: Holly Campbell
Email: [email protected]
Phone: 401-360-1341
Fax: 401-360-1801

West Kingston Elementary

Nurse: Jayne Brassil
Email: [email protected]
Phone: 401-360-1178
Fax: 401-360-1131

Matunuck Elementary

Nurse: Rachel Cruz
Email: [email protected]
Phone: 401-360-1259
Fax: 401-360-1235

Peace Dale Elementary

Nurse: Carla Rucci Spencer
Email: [email protected]
Phone: 401-360-1691
Fax: 401-360-1601