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Physician's Student Health Form

Shlenker students are required to submit a completed Physician’s Student Health Form annually. Please follow the link below to download the form.

Download the 2025–2026 Physician’s Student Health Form

Instructions

  1. Print the form and bring it to your child’s doctor.
     
  2. Ensure the form is:
    • Fully completed by the physician
    • Includes updated immunization records
    • Signed by the physician
       
  3. Submit the form in one of the following ways:
    • Email: sellerin@shlenker.org
    • Mail: The Shlenker School, 5600 N. Braeswood Blvd., Houston, TX 77096
    • Fax: 713-270-6114 (Attn: Sharon Ellerin)

Important Notes

  • A separate form is required for each child enrolled.
  • Students must have a physical exam before starting school.
  • If your child had a physical on or after January 1, 2025, a new visit is not required—you may give the form to the physician for completion.
  • All immunizations must be up to date per Texas state requirements. This will be strictly enforced.

Questions about the Physicians Student Health Form? Please contact Sharon Ellerin at sellerin@shlenker.org.