• (606) 886-8546

Forms for Big Sandy Area Schools

 

 

 
 
 
 
SCHOOL BASED: Big Sandy Health Care Online Form Links
 
Attention Parents or Guardians:  If you fill out the Medical, Dental or Behavioral Health online Consent forms for your child/children, you are REQUIRED to complete the Medical/Dental History and HIPAA Acknowledgement online forms.  If you have any questions pertaining to these forms, please call our central office at 606.886.8546, enter extension 5000 and ask for assistance with online school forms.  Thank you for choosing us to care for your children!
 
Floyd County Schools
Floyd County Schools Medical and Dental History: Step 1: 
Floyd County Schools HIPAA Acknowledgement: Step 2:   
Floyd County Medical Consent: Step 3: 
Floyd County Schools Dental Consent: Step 4: 
 
Johnson County Schools
Johnson County Schools Medical and Dental History: Step 1: 
Johnson County Schools HIPAA Acknowledgement: Step 2:   
Johnson County Medical Consent: Step 3: 
Johnson County Schools Dental Consent: Step 4: 
 
Martin County Schools
MartinCounty Schools Medical and Dental History: Step 1: 
Martin County Schools HIPAA Acknowledgement: Step 2:   
Martin County Medical Consent: Step 3: 
Martin County Schools Dental Consent: Step 4: 
Martin County Schools Behavioral Health Consent: Step 5: 
 
Paintsville Independent
All Paintsville Independent Schools Medical and Dental History: Step 1: 
All Paintsville Independent Schools HIPAA Acknowledgement: Step 2:   
 
Step 3: Choose your School and Type of Consent:
Paintsville High School/Paintsville Independent Medical Consent: 
Paintsville Elementary School/Paintsville Ind. Dental Consent: 
Paintsville High School/Paintsville Ind. Dental Consent: 
Paintsville High School/Paintsville Ind. Behavioral Health Consent: 
 
Sure Foundation Christian Academy
Sure Foundation Christian Academy Schools Medical and Dental History: Step 1: 
Sure Foundation Christian Academy HIPAA Acknowledgement: Step 2:   
Sure Foundation Christian Academy Dental Consent: Step 3: