Georgia DPH Form 3300 Vision Hearing Dental Nutrition
The Georgia Department of Public Health Form 3300 is a certificate for vision, hearing, dental, and nutrition screening of children. This form is required for enrollment in Georgia public schools. It ensures that children receive necessary health screenings to support their academic success.
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How do I fill this out?
To fill out this form, start by providing the parent or guardian's contact information. Next, include the child's name, date of birth, and home address. Lastly, complete the screening sections for vision, hearing, dental, and nutrition.

How to fill out the Georgia DPH Form 3300 Vision Hearing Dental Nutrition?
1
Read the form carefully and gather necessary information.
2
Fill in the parent/guardian's name and contact information.
3
Complete sections on the child's name, date of birth, and address.
4
Indicate results of screenings for vision, hearing, dental, and nutrition.
5
Sign and date the form to certify completion.
Who needs the Georgia DPH Form 3300 Vision Hearing Dental Nutrition?
1
Parents or guardians of children enrolling in Georgia public schools.
2
Healthcare professionals conducting screenings on children.
3
School administrators requiring health documentation for students.
4
Dental and vision care providers involved in children's health.
5
Local health departments monitoring child health compliance.
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What are the instructions for submitting this form?
To submit the DPH Form 3300, first, complete the form fully. You may submit it via email to your local school, fax it to the administrative office, or deliver a printed copy in person. It's advised to keep a copy of the form for your records before submission.
What are the important dates for this form in 2024 and 2025?
Ensure to complete and submit the DPH Form 3300 upon enrolling your child in public school. Keep an eye on school enrollment deadlines, typically in late summer. Health screenings should be updated annually to ensure ongoing compliance.

What is the purpose of this form?
The DPH Form 3300 serves as a critical documentation tool for the health screening of children. It ensures that children meet health requirements for enrollment in Georgia public schools, contributing to overall student health and wellness. This form also allows schools and health providers to track and support the health needs of their students effectively.

Tell me about this form and its components and fields line-by-line.

- 1. Parent/Guardian Name: Includes first, middle, and last name.
- 2. Child's Name: Includes child's first and last name.
- 3. Date of Birth: Child's date of birth.
- 4. Contact Information: Includes daytime, evening, and cell phone numbers.
- 5. Vision Screening: Results and comments regarding the child's vision.
- 6. Hearing Screening: Results and comments regarding the child's hearing.
- 7. Dental Screening: Results and comments regarding the child's dental health.
- 8. Nutrition Screening: Results regarding the child's height, weight, and BMI.
- 9. Screener's Signature: Signature of the professional completing the screenings.
What happens if I fail to submit this form?
Failing to submit the DPH Form 3300 can hinder your child's enrollment process in public school. Without the completed form, the school may not have the necessary health information required for your child. It is important to ensure that this form is submitted to avoid any delays.
- Delayed Enrollment: Your child may face delays in starting school if this form isn’t submitted.
- Health Services Access: Lack of submitted health screenings may restrict access to necessary health services.
- Non-Compliance: Schools may be unable to comply with health regulations without this document.
How do I know when to use this form?

- 1. School Enrollment: Required for all new public school students in Georgia.
- 2. Health Care Documentation: Provides essential health information to schools.
- 3. Compliance with State Regulations: Ensures compliance with health regulations for student enrollment.
Frequently Asked Questions
What is the DPH Form 3300?
The DPH Form 3300 is a required document in Georgia for certifying a child's vision, hearing, dental, and nutrition screenings.
How do I fill out this form?
Simply provide the required contact information and complete the necessary screening sections on the form.
Can I edit the PDF online?
Yes, you can easily edit the DPH Form 3300 using PrintFriendly's PDF editing tools.
What if I need to sign the form?
You can digitally sign the DPH Form 3300 on PrintFriendly before downloading it.
Is this form for parents only?
No, healthcare providers and school administrators also use this form for compliance and record purposes.
Can I save the edited form?
Yes, you can download your edited version of the form for future use.
How do I share the PDF?
After editing or signing the form, you can easily share it via email or social media directly from PrintFriendly.
What screenings does this form cover?
This form covers vision, hearing, dental, and nutrition screenings for children.
What happens if I don’t submit this form?
Not submitting this form may delay your child's enrollment in public school and access to school services.
Where can I find more information?
You can find detailed instructions and support directly on the PrintFriendly platform.
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