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:
  • 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. and 4 p.m.

Participating Provider/s:

Learn More:

Click here to learn more! (PDF)

Clic aquí para saber más (PDF)

Participating Schools

Blaney Elementary
1621 Smyrna Road
Elgin, SC 29045

Jackson School 
1730 Jefferson Davis Highway
Camden, SC 29020

Lugoff Elementary 
994 Ridgeway Road
Lugoff, SC 29078

Midway Elementary 
1892 Highway
1 North Cassatt, SC 29032