Cobb County School DistrictForm JLC-8 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the student's name, date of birth, and school in the designated fields at the top of the form.
3. Fill in the 'Date Last Seen' field along with the diagnosis and prognosis/anticipated duration sections to provide essential medical context.
4. Detail any anticipated impact of the diagnosis on the student’s educational performance in the provided space.
5. List any allergies, specifying whether they are related to inhalation, ingestion, or touch/exposure for each item.
6. Indicate any special diet or food restrictions and suggest food substitutions as necessary.
7. Document medications by filling out their names, dosages, and frequency in the respective fields.
8. Outline any special health care procedures and activity restrictions that may apply to the student.
9. Provide additional comments or medically relevant information if needed.
10. Finally, have the physician print their name and address, sign, and include their Georgia Board Certification Number along with the office phone number before submitting.

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