Health Services

Health Services

603-435-6701, ext. 1114

Fax 603-435-7087


Health Office Forms:


The New Hampshire State Department of Education policy concerning the administration of medications in school requires that the following steps be completed BEFORE medication can be given during school hours:

  1. A written order from a licensed provider that includes the student’s name, date, diagnosis, the name of the medication, the dosage, the route, the time the medication is to be administered and the length of time the student will be taking the medication.
  2. “Authorization for Prescribed Medication during the School Day” must be signed by parent or guardian.
  3. The medication needs to be brought in by the parent or guardian in the original prescription container. No more than one month supply at a time. Unused medication must be picked up within ten days or it will be disposed of by the school nurse and recorded as such.


Immunization Information

The Tdap vaccine is required for entry into the 7th grade. The school health office will need an updated vaccine record, prior to the start of school, which reflects Tdap has been received.

[NOTE: PCP offices do not send vaccine records to the school unless a parent asks them to do so.]

If there is a medical, or religious exemption, the completed exemption form is also due prior to starting school. If your child has a scheduled physical, but it will not occur until after the start of school, we can accept that date as conditional enrollment for your child. Please email me the date of the appointment.



P.A.T.C.H. Clinic

(Pittsfield Adolescent to Teen Center for Health)


Family Medicine Residents provide on-site health, education, wellness and risk reduction and prevention services for students who attend Pittsfield Middle High School. The school-based setting provides a learning opportunity for medical residents from Concord Hospital Family Health Center and NH Dartmouth Family Medicine.

General Information:

  • The PATCH office is located in the Middle School Wing (lower level), one classroom away from the student health office.
  • Students require parental consent in order to receive services, unless they are 18 years or older.
  • PATCH services are FREE.
  • All records remain part of the student’s school health file and are stored in a locked cabinet that can be accessed by school nurse, PATCH coordinator and preceptor.
  • Referrals come from the school nurse, parents, guidance and other staff. Students may self-refer, if they have parental consent.
  • Family Medicine residents see students on Thursdays between 9:00am-11:00am, when staff is available. Appointments are typically scheduled by the school nurse.

Services Offered FREE of Charge:

  • Sports physicals
  • 1:1 health education
  • Assessment of minor illness or injury (a follow-up note is sent home to parent/guardian)
  • Residents present to classes about health topics, risk prevention and reduction, health promotion, etc.
  • Collaborate with school nurse and guidance to best support students.

PATCH Consent Form



The Pittsfield School District’s Wellness Policy (JJIFA) is available to view here. The District Wellness Team meets monthly. Our meeting agendas and minutes for the 2018-2019 school year are available below. For more information regarding the Wellness Team, please contact Derek Hamilton at