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Nurses & Medical Forms

Medical Authorization Forms

Authorization 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.

 

  • Participation Physical Evaluation Form

Physical Evaluation Form for Sports Participation.(PDF Format)

 

  • Authorization to carry Prescription Inhaler

Authorization to carry a Prescription Inhaler(PDF Format)

 

 

 

Key Contacts

Leslie Schlierf, Executive Director

Student Support Services
lschlierf@bullochschools.org
912.212.8580

Kathy Wood, Lead Nurse
kwood@bullochschools.org
912.212.8573

Susan Mullis, Nurse
Brooklet Elementary School
912.842-8300

Melinda Green, Nurse
Julia P. Bryant Elementary
912.212.8680

Karen Thigpen, Nurse
Langston Chapel Elementary
912.212.8700

Mark Anderson, Nurse
Langston Chapel Middle
912.212.8720

LaShundra Staten, Nurse
Mattie Lively Elementary
912.212.8760

Charanne Pittman, Nurse
Mill Creek Elementary
912.212.8780

Kelli Kenan, Nurse
Nevils Elementary
912.842.8320

Beverly Stewart, Nurse
Portal Elementary
912.842.8340

Lee Street, Nurse
Portal Middle High
912.842.8360

Kris Lantz, Nurse
Sallie Zetterower Elementary
912.212.8800

Monica Pacheo-Diaz, Nurse
Southeast Bulloch Middle
912.842.8400

Sabrina Nordeoff, Nurse
Southeast Bulloch High
912.842.8440

Brenda Shumate & Jessica Gunter, Nurses
Statesboro High School
912.212.8860

Jennifer Knipher, Nurse
Stilson Elementary
912.842.8480

Renea Durrence, Nurse
William James Middle
912.212.8820