2021-2022 Student Health Form

Below is the link to access The Shlenker School’s 2021-2022 Student HEALTH FORM:

The Shlenker School’s 2021-2022 Student HEALTH FORM

This 2-page form is MANDATORY in order for your child(ren) to start the 2021-2022 school year. Please download and print both pages, complete them, and either (1) email them to Sharon Ellerin at sellerin@shlenker.org; (2) mail them to the school at The Shlenker School, 5600 N. Braewood Blvd., Houston, Texas 77096; or (3) fax them to Sharon Ellerin at 713-270-6114.

Additional information: 

  • Health Report Page 1 (Parent Side) – Parents MUST completed in full and sign. If you have more than one child at The Shlenker School, you will need to print out a form for EACH child separately. Page 1 (Parent Side) can be submitted separately from the Page 2 (Physician Side). Please send this to us as soon as you receive this email.
     
  • Health Report Page 2 (Physician Side) - MUST be completed by your child’s doctor, MUST include shot records, and MUST be signed by the doctor. If you have more than one child at The Shlenker School, you will need to print out a form for EACH child separately. Students MUST have a physical before he/she can start school and the report should be completed at the time of the doctor visit. Please note, if the date of your child’s last physical was January 1, 2021 or later, your child does not need to visit the doctor and you can simply give the doctor the form to complete and sign.  All immunizations must be current and up-to-date by Texas state standards for the current school year. THIS WILL BE STRICTLY ENFORCED.

 If you have any questions, please contact Sharon Ellerin at sellerin@shlenker.org.