DPH FORM 3300 Download

What is Form 3300?

Certificate of Vision, Hearing, Dental, and Nutrition Screening required by the state of Georgia.

It ensures children are healthy and ready to learn by catching potential health issues early.

Who Needs It?

Children enrolling in a Georgia public school or pre-K program for the very first time

Students who are new to the state or transferring from private schools to public schools It is a one-time

requirement that stays on file as your child moves through Georgia schools

Who Can Complete It?

  • Your child's pediatrician or family doctor.
  • Your local public health department.
  • Licensed specialists like dentists or optometrists for their specific sections

자주 묻는 질문

Georgia Department of Public Health Form 3300
Certificate of Vision, Hearing, Dental, and Nutrition Screening

1Who is required to file this Form 3300?
The parent or guardian of a child who is being admitted for the first time to a public school in Georgia must file a completed Form 3300 with the school when the child is enrolled.
2What is the purpose of Form 3300?
Form 3300 is intended to make sure that every child in Georgia is screened for possible problems with their vision, hearing, teeth and nutrition. The earlier these problems are detected, the earlier parents can seek professional help for the child.
3What screenings are required?
Four different screenings are required: vision, hearing, dental, and nutrition. All four screenings must be conducted and reported on the form before it can be filed with the school.
4Who can conduct the screenings?
Your child’s doctor is authorized to conduct all four screenings, as is your local health department. In addition, the vision screening can be conducted by a Georgia licensed optometrist, an employee of Prevent Blindness Georgia trained to conduct vision screening, or a school registered nurse; the hearing screening can be conducted by a Georgia licensed speech-language pathologist or audiologist, or a school registered nurse; the dental screening can be conducted by a Georgia licensed dentist, dental hygienist, or a school registered nurse; and the nutrition screening can be conducted by a Georgia licensed dietician or a school registered nurse. It is not necessary that the same person conduct all four screenings.
5What does “BMI” and “BMI%” mean?
“BMI” means “body mass index.” BMI is a way to describe how much a child weighs in relation to height. “BMI percentile” is a way to compare the child’s body mass index to the body mass index of a healthy child. If the child’s BMI is less than 5% or more than 84% of what is appropriate for his or her age and height, then the child should be taken to a doctor or dietician for a more detailed evaluation. For more information, visit the Centers for Disease Control and Prevention website on child and teen BMI at: https://www.cdc.gov/bmi/child-teen-calculator/index.html
6What should a parent do if the “needs further evaluation” box is checked?
“Needs further evaluation” means that the child may have a problem. If the “needs further evaluation” box is checked, then the parent should take the child to a professional for a more detailed evaluation. Your doctor or local health department may be able to help or recommend someone who can help.
7What if a Form 3300 was previously filed for the child at another school?
It is only necessary to file the Form 3300 once. If the Form 3300 is filed at the child’s first school, and the child later transfers to another school, then the original school is required to forward the Form 3300 to the new school.