Medical Services & Forms
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
|
Leslie Schlierf, Executive Director Special Education Services |
| Kathy Wood, Lead Nurse kwood@bullochschools.org 912.212.8573 |
|
Susan Mullis, Nurse |
|
Shelby Conner, Nurse |
|
Karen Thigpen, Nurse |
|
Mark Anderson, Nurse Gloria Anderson, Nurse |
|
LaShundra Staten, Nurse |
|
Charanne Pittman, Nurse |
|
Kelli Kenan, Nurse |
|
Beverly Stewart, Nurse |
|
Lee Street, Nurse |
|
Jessica Gunter, Nurse |
|
Kelly LeCroy, Nurse |
|
Sabrina Nordeoff, Nurse |
|
Brenda Shumate, Nurse Stephanie Gagne', Nurse |
|
Jennifer Knipher, Nurse |
|
Renea Durrence, Nurse |
