Medical Forms
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Sample Certificate of Eye, Ear, Vision and Nutrition Exam -- GA
This form must be obtained and completed at a local health department or physician office.
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Sample Immunization Form 3231 - GA
These forms must be obtained and completed at local public health departments or physician offices.
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Affidavit of Religious Objection to Immunization - Spanish Version
DPH-Form-2208-Religious-Objection-to-Immunization-Spanish.pdf 130.48 KB (Last Modified on June 25, 2018) -
Scoliosis Screening Form for Physicians - Form 4400
Form used by physicians who conduct scoliosis screenings for students in 6th and 8th grades.
School Nurse Supervisor
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Tina Wisniewski - Nurse Supervisor
Direct: 706-826-1310, Ext 5491
Department: 706-826-1129
Fax: 706-826-4626
Announcements
Wellness Information
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Children's Healthcare of Atlanta Influenza Resources