Allendale County

Consent Forms:

  • To enroll in the program, please complete the consent forms below.
  • When asked, please enter parent/guardian first and last name.
  • If you don’t have an email address, please use:
  • If you have questions about the program, please contact your school nurse or e-mail

English Consent

Spanish Consent

Visits at Home:

To schedule a virtual visit when school is in session at participating schools, call 843-792-0355 between 8 a.m. to 4 p.m.

Participating Provider/s:

Learn More:

Click here to learn more! (PDF)

Clic aquí para saber más (PDF)

Participating Schools:

Allendale Elementary
3305 Allendale Fairfax Highway
Fairfax, SC 29827

Allendale/Fairfax Middle-High
3581 Allendale Fairfax Highway
Fairfax, SC 29827

Fairfax Elementary
734 14th Street East
Fairfax, SC 29827