Medical Services
Medical Information & Services Forms
These forms are all embedded and available for completion within the school district's online registration tool for new students and within the annual update of enrolled students' information that parents and guardians complete each year at the beginning of school through their Campus Parent account.
Register required immunizations and health screenings
- Bulloch County Schools' Protocols for Medication in Schools
- Georgia Certificate of Immunization (form 3231) (PDF) - a form 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). Effective July 1, 2014, all children born on or after January 1, 2002, or new entrants into a Georgia school system are required to have at least one dose of Tetanus-Diphtheria-Pertussis (Tdap) and one dose of Meningococcal Conjugate (MCV4) vaccines. Click this link for a parent flyer about these vaccines. (PDF Format) (PDF)
- GA Department of Public Health Form 3300 - Vision, Hearing, Dental & Nutrition Screening (PDF)
Register basic medical information
Providing this information will authorize to administer medication/health procedure/treatment to my child. I agree to provide a new physician’s order if there is any change in medication, dosage, administration time, or procedure/treatment. I agree to furnish all equipment, supplies, medications, formulas, or other necessary items and to provide replacements and maintenance as necessary.
Register medical clearance to play a sport
Register medical services needed for school
- Medical Plan of Care Form
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. - Authorization to carry Prescription Inhaler (PDF)
- Homebound Referral Form (PDF)
Leslie Schlierf
Executive Director
Special Education Services
912.212.8580
Fay Blythe
Lead Nurse
912.212.8599
School Nurse Clinics
Contact your school to speak to its trained medical personnel.