Kelsey Scudder, BSN, RN- Lead Nurse
kelsey.scudder@smithcoedu.net
615-683-8245

Molly Goolsby, BSN, RN
goolsbym1@smithcoedu.net
615-735-9219

Flu

Meningococcal Vaccine

Anaphylaxis Action Plan TDOE

Health Services

Parent&Guardian Statement and Consent Over the Counter

Parental Consent Form Health Services

Physician Form for Medicine Administration

Physician Orders

Religious Exemption Form

Annual Health Screenings

In accordance with the “Families’ Rights and Responsibilities Act”, Public Chapter No. 1061, in order for a student to receive health care services by a school nurse or other person acting on behalf of the school system or receive counseling services from a school counselor or other school personnel, a parent or guardian must provide written consent. Parents must submit a form for each child enrolled in Smith County Schools.