School Screening Information/Forms

2020 School Screenings are being held on Jan 11, from 8 am to 2 pm.

All children must be eligible for care at Eisenhower Army Medical Center and enrolled in DEERS (current in Eisenhower DEERS system at least one week prior to screening)

Registration will be held in the Pharmacy waiting room, 2nd floor.

 

Please remember to bring the following:

  School Screening Required Documents

  • ID Card or Current proof of DEERS registration
  • Medical Records (if not at Eisenhower)
  • Immunization Record (Shot Card)
  • Eye Glasses/Hearing Aid
  • Medical Power of Attorney (if applicable)

 

Sports physicals available by appointment.

 

The 2020 School Screening forms are listed below. Click on each file, save, complete and present during registration.

DPH (GA Department of Public Health) form 3300

School Screening GRITS (EAMC Form 1066)

Medical Record- Supplemental Medical Data/ DDEAMC School Screening Form (DA Form 4700) (height in cm)

Contact Information 
Phone:

787-5143

Toll Free: 

 

Hours:

Jan 11; 8am - 2pm

Location:

Pharmacy Waiting Room, 2nd Floor, Eisenhower AMC

Bldg 300, Fort Gordon GA 30905