Medical Forms

Links to these forms are available within the school district's online registration tool for new students and within the annual update for enrolled students' information that parents and guardians complete each new school year through their Campus Parent Portal account.

Medical Forms for Immunization & Health Screenings for Enrollment

• Form 3231 Georgia Certificate of Immunization: This form is provided by the Department of Human Resources. It is issued by a physician licensed under the laws of Georgia or by a local board of health (Health Department). 

• Form 3300 Georgia Certificate of Vision, Hearing, Dental & Nutrition Screening: This form is provided by the Georgia Department of Public Health. It is issued by a physician licensed under the laws of Georgia or by a local board of health (Health Department).  

Bulloch County Schools Medical Protocols & Forms for Student Care at School

These are forms and protocols that authorize school nurses and appropriate staff to administer medications and provide medical assistance to your child during school and school activities. Parents and guardians should agree to provide a new physician’s order if there is any change in medication, dosage, administration time, or procedure and treatment. Parents and guardians should agree to furnish all equipment, supplies, medications, formulas, or other necessary items and to provide replacements and maintenance as necessary.

General Medical Forms

• Authorization for Medication Administration/ Medical Plan of Care Form (English) and (Spanish)
  In order to better serve a child’s educational needs, this form would help provide/prepare for any precautions, special considerations, recent or upcoming surgical procedures, and/or medications that a child may need (activities, diet, equipment, etc.
• Hospital Homebound Referral Form
• Medical Information Form (English) Formulario de Información Médica anual (Spanish)
• Diabetes Management Plan
• Seizure Action Plan
• Asthma Action Plan Form (English) and (Spanish)
• Food Allergy & Anaphylaxis Emergency Care Plan Form (English) and (Spanish)

Student Medication

• Protocols for Medication in Schools
• Self-Administration Consent Form for Non-Prescription (Over-the-Counter) Medication - Middle & High Only
• Authorization to Carry Prescription Inhaler and EpiPens

Medical Clearance Form to Play Sports

• Physical Evaluation Form to Participate in Sports 

Meal Modification Form for School Meals

• Visit our School Nutrition Services webpage for the most recent Meal Modification Form.