How to Fill Out and Submit Georgia DPH Form 3300: Signers and Deadlines

Georgia DPH Form 3300 is the state health certificate showing that your child has been screened for vision, hearing, dental health, and nutrition before starting public school. Every child enrolling in a Georgia public school or state-funded pre-K program for the first time must have a completed Form 3300 on file, and the screenings on it must have been performed within one year before the child’s admission date.¹ Turn it in at enrollment. If you don’t, your child can eventually be kept out of class until the paperwork is complete.

Who Has to Submit One

The requirement covers any child being admitted to a Georgia public school for the first time.¹ That means the kindergartner or first grader starting out, and also a child entering a state-funded pre-K program.² It also means students transferring in from a private school, a home-school setting, or another state, at any grade level.

Form 3300 is not the only health document schools ask for at registration. You also need a completed Immunization Certificate (Form 3231).² If you can, take care of both during the same appointment.

Where to Get the Form and the Screenings

A blank copy of Form 3300 is available as a PDF from Georgia.gov, and local county health department offices keep printed copies on hand.²

Your child’s regular physician can perform all four screenings and fill out the form, and so can your local county health department.² Families on Medicaid or PeachCare for Kids can generally have the screenings covered under a routine well-child visit. Families without insurance can look to Federally Qualified Health Centers, which run on a sliding fee scale and cannot turn a patient away for inability to pay.³

What the Four Screenings Cover

Each screening is a preliminary check meant to flag children who need follow-up, not a full diagnostic exam.¹

Vision: a basic eye exam checking visual acuity and common problems like amblyopia (lazy eye) or strabismus (crossed eyes).
Hearing: a standard audiometric screening for potential hearing loss.
Dental: a visual inspection of the teeth and mouth for decay, missing teeth, or other oral health concerns.
Nutrition: the screener records the child’s height, weight, and Body Mass Index, calculated using the current CDC formula.¹

Each section is marked either “passing” or “needs further evaluation,” with a note about whether the child is already under professional care for the issue.¹ A “needs further evaluation” result does not keep your child out of school. It’s a referral, not a barrier.

Who Is Allowed to Sign Each Section

The vision, hearing, and nutrition sections have to be completed by a licensed physician, nurse practitioner, or physician assistant. The dental section can be completed by any of those providers, or by a dentist or dental hygienist holding an active Georgia license.¹ So your pediatrician can handle three sections at a checkup, and the dentist can complete the fourth at a separate visit.

Every screener has to sign the form, print their name, list their credentials, and give the clinic address where the screening happened. Check the dates while you’re still at the office. Schools verify that every screening falls inside the one-year validity window.

Deadlines for Turning It In

You hand the completed form to the school registrar at enrollment. The state’s timing rules:

A waiver is not automatic. Once the deadline passes with no certificate on file, the school can exclude the child from attending until the form is submitted.

Exemptions and Special Situations

Religious Objections

Georgia lets parents opt out of one or more of the four screenings on religious grounds. You provide the school a notarized statement explaining that the screening conflicts with your religious beliefs.¹ The exemption is section by section. Object to the dental screening only, and the other three still need to be done.

Disabilities and Health Conditions

When a disability or medical condition prevents a child from taking or passing a screening, the provider does not leave the section blank. The provider explains on the form why the screening could not be administered or passed, notes any professional care the child is already receiving, and adds anything useful for educational planning.¹ That written explanation satisfies the requirement.

Records From Another State

Families moving in from out of state may not have to redo the screenings. A Georgia county health department may accept written records from a provider licensed in another state, as long as the screenings were performed within one year before the child enrolls in a Georgia public school. The health department reviews those records, issues a Georgia Form 3300 based on them, and keeps the originals on file.¹ Acceptance is at the department’s discretion, so call ahead before you assume the records will transfer.

Common Reasons a Form Gets Rejected

A section is blank. All four screenings must be documented, or the form is incomplete.
A signature is missing. An unsigned section counts as an incomplete one.
An old version of the form. Georgia has required the revised Form 3300 since the 2014–2015 school year, and older versions are not accepted.¹
An expired screening. A screening dated 14 months before the child’s first day is outside the one-year window and no longer valid.

Look the form over before you leave the provider’s office. Fixing a missing signature or an unreadable date is far easier at the front desk than after you’ve already been turned away by the school registrar.

1
Georgia Secretary of State. Georgia Rules and Regulations – Subject 511-5-6 Vision, Hearing, Dental, and Nutrition Screening of Children Entering Public Schools
2
Georgia.gov. Get Required Health Records to Attend School
3
Health Resources & Services Administration. Chapter 9: Sliding Fee Discount Program