Medical Services
Medical Information & Services Forms
Register required immunizations and health screenings
- Bulloch County Schools' Immunization Procedures (PDF)
- 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 (PDF)
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)
Medical & Nursing Contacts
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Leslie Schlierf, Executive Director Special Education Services 912.212.8580
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912.212.8573
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Susan Mullis, Nurse Brooklet Elementary School 912.842-8300
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Shelby Conner, Nurse Julia P. Bryant Elementary 912.212.8680
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Karen Thigpen, Nurse Langston Chapel Elementary 912.212.8700
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Mark Anderson, Nurse Gloria Anderson, Nurse Langston Chapel Middle 912.212.8720
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LaShundra Staten, Nurse Mattie Lively Elementary 912.212.8760
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Charanne Pittman, Nurse Mill Creek Elementary 912.212.8780
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Kelli Kenan, Nurse Nevils Elementary 912.842.8320
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Beverly Stewart, Nurse Portal Elementary 912.842.8340
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Lee Street, Nurse Portal Middle High 912.842.8360
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Jessica Gunter, Nurse Sallie Zetterower Elementary 912.212.8800
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Kelly LeCroy, Nurse Southeast Bulloch Middle 912.842.8400
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Sabrina Nordeoff, Nurse Southeast Bulloch High 912.842.8440
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Brenda Shumate, Nurse Stephanie Gagne, Nurse Statesboro High School 912.212.8860
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Jennifer Knipher, Nurse Stilson Elementary 912.842.8480
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Renea Durrence, Nurse William James Middle 912.212.8820 |
