Health and Well Being
- Student Health Information & Consent Form for Grades PK-12th
- Athletic Screening/Pre-Participation Physical (PPE)
- Georgia Form 3231 - Proof of Immunization
- Georgia Form 3300- Proof of Eye, Ear, and Dental Exam
- Prescription Medication Form
Provides health and parent contact information for the entire school year, including field and sports trips. Please fill it out carefully and call the school nurse to change or update information. This form is mandatory for every student.
Students with special medical conditions, severe allergies, or asthma will need a copy of an Asthma Action Plan, Anaphalaxis Action Plan, or other Action Plan on file. The plan must be signed by a physician and returned to school before the first day of class. Please call our nurse to discuss any special medical concerns.
This is required to be completed each school year by every Middle and Upper School student. Please have your child’s pediatrician or an Immediate Care Facility perform the exam and sign the form.
Georgia Form 3231—Proof of Immunization
(Obtain from your doctor or Glynn County Health Department) - This form is required for all rising PK, K, and 7th graders and also for new students from outside GA entering at any grade level. Form 3231 certifies that the child has all vaccines required for school attendance in GA. Medical exemption from certain vaccines is indicated on Form 3231. Parents who have objection to immunization (non-medical) will need to complete and file an affidavit -- GA Form 2208.
Per GA law, during an epidemic or threatened epidemic, we will follow the recommendation of the Department of Public Health or the CDC regarding exclusion of un-immunized students.
Prescription Medication Form
This is necessary if your child is on any long term (greater than 2 weeks duration) prescription medication that will be given during the school day or on field trips. This form requires a physician’s signature. Click HERE for the form.
If your child will be taking a short term prescription (for example, a 2 week antibiotic), we must have a note from the parents directing that the medication be given to the student at school. Specific information regarding medicine, dosage and administration time must be clearly stated. Prescription medication should be provided in a medication container with the prescription on the label. The medication and note should be delivered to the school nurse or receptionist in the front office.
Frederica Academy is a certified Heart-Safe School, as part of the ongoing program, Project S.A.V.E. We have maintained this certification every year since 2006.
Project S.A.V.E. is a lifesaving program that was created to educate school systems and doctors about pediatric sudden cardiac arrest. The goal of the program is to raise awareness about the frequency of sudden cardiac arrest, possible early warning signs and the need for a timely response.
S Sudden Cardiac Arrest
V Vision for Prevention