Fairfield 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: schoolbased@sctelehealth.org.
  • If you have questions about the program, please contact your school nurse or e-mail schoolbased@sctelehealth.org.

English Consent

Spanish Consent

Participating Provider/s:

Learn More:

Click here to learn more! (PDF)

Clic aquí para saber más (PDF)

Participating Schools:

Fairfield Elementary School
175 State Road S-20-363
Winnsboro, SC 29180

McCrorey-Liston School Of Technology
1978 SC-215
Blair, SC 29015