Big Sandy Health Care

School Year 2020/2021 BSHC 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, press 0 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 Consent https://secureform.luxsci.com/forms/18978/17727/H9GH/form.html

Johnson County Schools Dental Consent https://secureform.luxsci.com/forms/18978/17716/Abd3/form.html

Johnson County Schools Medical and Dental History https://secureform.luxsci.com/forms/18978/17721/cDCf/form.html

Johnson County Schools HIPAA Acknowledgement https://secureform.luxsci.com/forms/18978/17751/HHWy/form.html

Martin County Schools

Martin County Schools Medical Consent https://secureform.luxsci.com/forms/18978/17661/yQk9/form.html

Martin County Schools Dental Consent https://secureform.luxsci.com/forms/18978/17636/yFMj/form.html

Martin County Schools Behavioral Health Consent https://secureform.luxsci.com/forms/18978/17666/bpf0/form.html

Martin County Schools Medical and Dental History https://secureform.luxsci.com/forms/18978/17674/Zs9Z/form.html

Martin County Schools HIPAA Acknowledgement https://secureform.luxsci.com/forms/18978/17739/87Ho/form.html

Paintsville Independent

Paintsville High School/Paintsville Ind. Medical Consent https://secureform.luxsci.com/forms/18978/17678/Zx6V/form.html

Paintsville Elementary/Paintsville Ind. Dental Consent https://secureform.luxsci.com/forms/18978/17676/8Bxp/form.html

Paintsville High School/Paintsville Ind. Dental Consent https://secureform.luxsci.com/forms/18978/17677/Nqgv/form.html

All/Paintsville Ind. Medical and Dental History https://secureform.luxsci.com/forms/18978/17717/AAyh/form.html

All/Paintsville Ind. HIPAA Acknowledgement https://secureform.luxsci.com/forms/18978/17750/T8VL/form.html

Sure Foundation Christian Academy

Sure Foundation Christian Academy Dental Consent https://secureform.luxsci.com/forms/18978/17821/oa5Z/form.html

Sure Foundation Christian Academy Medical and Dental History https://secureform.luxsci.com/forms/18978/17819/921G/form.html

Sure Foundation Christian Academy HIPAA Acknowledgementy https://secureform.luxsci.com/forms/18978/17818/K69W/form.html

Forms for Big Sandy Area Schools