Loyola School-Based Health Center
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  • About Us
  • Services
    • Medical
    • Behavioral Health
    • Nutrition
  • Appointments
  • Fillable Forms
  • Home
  • About Us
  • Services
    • Medical
    • Behavioral Health
    • Nutrition
  • Appointments
  • Fillable Forms

Attention: All students need a signed consent form to receive services at the health center. 
Atención: Todos los estudiantes necesitan un formulario de registración y consentimiento firmado para recibir servicios en el Centro de Salud.

Please email completed forms to sbhc@luc.edu
Envíe los formularios completos por correo electrónico a sbhc@luc.edu

Consent form (English)

sbhc_consent_fillable_en.pdf
File Size: 594 kb
File Type: pdf
Download File

Registración y Consentimiento 

sbhc_consent_fillable_sp.pdf
File Size: 547 kb
File Type: pdf
Download File

Sports Physical form (English)

sports_physical_fillable_en.pdf
File Size: 1050 kb
File Type: pdf
Download File

Evaluación física de preparación para la participación 

school_physical_fillable_sp.pdf
File Size: 377 kb
File Type: pdf
Download File

School Physical form (English)

sports_physical_fillable_en.pdf
File Size: 1050 kb
File Type: pdf
Download File

Formulario de exámenes de salud escolar

sports_physical_fillable_sp.pdf
File Size: 392 kb
File Type: pdf
Download File

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