Kershaw 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

Visits at Home:

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

Participating Provider/s:

• KershawHealth-Sentinel Health Partners (PDF)
• MUSC Health (PDF)

Learn More:

Click here to learn more! (PDF)

Clic aquí para saber más (PDF)

Participating Schools