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MUSC School-Based Health Program

Hello Simmons-Pinckney Middle School Parents. Below is information about the MUSC School-Based Health Program. Click the links to enroll. Thank you all and please let us know if you have any questions or concerns.


Nurse Tippey and Nurse Naumann


We are excited to offer the opportunity to provide care to your student(s) this school year:

Enroll today!

When asked, please enter parent/guardian first and last name.
If you do not have an email address, please use

English Enrollment Forms

Spanish Enrollment Forms


Visits at School:

  • Your child can be examined, diagnosed, and treated by healthcare providers while at school.

  • Students are evaluated in the school nurse’s office.

  • Schedule appointments through the school nurse.


Other information:

  • Medicaid covers the cost of the visits

  • Private insurance coverage varies and copays and deductibles apply

  • Learn more on the South Carolina Telehealth Alliance website or call 843-792-5522

Enroll today!

Complete the enrollment forms today! 

Use QR code or visit to enroll your student today!

When asked, please enter parent/guardian's first and last name.

If you do not have an email address, please use

All non-iPhone users, please download a QR code scanner app. 

Learn more at

or call 843-792-5522. 

School-Based Health Enrollment Forms 

We are so excited to offer the School-Based Health Program in your child’s school! There are three places for you to sign to enroll your child in the program: 

Form Name 


Consent for Treatment 

Signing this form allows your child to receive medical care in the school.

Authorization to Disclose Protected  Health Information

This form allows the healthcare team to work with the school. Signing this form allows the healthcare providers, the school nurse, and your child’s main healthcare provider to share medical information about your child’s health.

Consent for Release of Education  Records and Information

This form allows the school to work with the healthcare team. Signing this form allows the school to share medical, psychological, and other personal information about your child with the healthcare provider.


If you have any additional questions, please contact your school nurse or Katie Hale, School-Based Health Program Coordinator at (843) 792- 3227 or