School Based Health


School-Based Health centers are conveniently located in schools or on school campuses. Our eight school-based health centers see students, parents, teachers and community members for primary care. School-Based Health helps keep kids healthier and in school. Download the enrollment form for your student today:

HIPAA compliant School Based Health Enrollment Packet

Counseling Referral Form

Mental Health Patient History Form

COVID-19 Vaccine Consent Form

HPV Vaccine Consent Form

TDAP Vaccine Consent Form

Meningococcal Vaccine Consent Form

Hepatitis A Vaccine Consent Form

Hepatitis B Vaccine Consent Form

Flu Vaccine Consent Form

MMR Vaccine Consent Form

Polio Vaccine Consent Form

Varicella Vaccine Consent Form

Sports Physical Form (Print Only)

Health Educator Survey

Our School-Based Health Sites:

Coal City Elementary

Fayetteville PK-8

Independence Middle School

Independence High School

New River Elementary

Oak Hill High School

Summersville Wellness Center

Valley Wellness Center

Or if you prefer the PDF form:  Enrollment Form

NRHA Notice of Privacy Practices

The Health Resources and Services Administration (HRSA), in accordance with the Federally Supported Health Centers Assistance Act (FSHCAA), as amended, sections 224(g)-(n) of the Public Health Service (PHS) Act, 42 U.S.C. �� 233(g)-(n), deemed New River Health Association to be in accordance with the Act that provides liability protection under the Federal Tort Claims Act (FTCA), 28 U.S.C. �� 1346(b), 2672, or by alternative benefits provided by the United States where the availability of such benefits precludes a remedy under the FTCA, for damage for personal injury, including death, resulting from the performance of medical, surgical, dental, or related functions by New River Health Associations employee�s while acting within the scope of such employment and its covered individuals.

NRHA is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.