Medical Services
Medical Information & Services Forms
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 (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)
Leslie Schlierf
Executive Director
Special Education Services
912.212.8580
Renea Durrence
Lead Nurse
912.212.8573
School Nurse Clinics
Contact your school to speak to its trained medical personnel.
