Skip to Main Content
District Home
Select a School...
Select a School
  • Aragon High School
  • Burlingame High School
  • Capuchino High School
  • Hillsdale High School
  • Mills High School
  • Peninsula High School
  • San Mateo High School
Sign In
Search
  • Home
  • Our District
      "
    • Multi Media Articles
    • Spring 2021 Information
    • Returning to In-Person Instruction
    • Board of Trustees
    • CVRA By-Trustee Area Election
    • Superintendent
    • General Information
    • District Updates
    • Covid-19 Information
    • File a Complaint
  • Departments
      "
    • Athletics
    • Finance and Support Services
    • Business Services
    • Capital Facilities
    • Curriculum and Assessment
    • Human Resources
    • Maintenance and Operations
    • Rental of Facilities and Fields
    • Special Education
    • Student Nutrition
    • Student Services
    • Technology Support Group (TSG)
    • Transportation
  • Programs
      "
    • Alternative Programs
    • Alternative to Suspension
    • AVID
    • Career Technical Education
    • English Learner Programs
    • Family Engagement
    • Gifted and Talented Enrichment
    • Guided Studies
    • Mental Health and Wellness
    • O.S.C.R. Program
    • Restorative Justice
    • School Counseling
    • Special Education
    • Student Health
    • Summer School
    • Middle College
    • Multi-Tiered Support System
  • Students
      "
    • Student Portal
    • College and Career Planning
    • Graduation Requirements
    • LGBTQ+ Resources
    • Library Resources
    • Mental Health and Wellness
    • Performing Arts
    • Senior Information
    • Special Education
    • Student Clubs
    • Student Government and Leadership
    • Student Media
    • Student Nutrition
    • Student Resources
    • Transportation
    • Athletics
    • Tutoring
    • Earning College Credit in High School
    • Chromebook Resources
    • Students Experiencing Homelessness
  • Families
      "
    • Family Portal
    • College and Career Planning
    • Family Education Events
    • General Information
    • Graduation Requirements
    • Incoming 9th Graders
    • LGBTQ+ Resources
    • Mental Health and Wellness
    • Parent Groups
    • Parent & Guardian Resources
    • Register for School Year
    • Special Education
    • Stay Connected
    • Student Health
    • Student Media
    • Student Nutrition
    • Transportation
    • Family Engagement
  • Community
      "
    • Stadium Lights
    • Business Fees
    • Community Events of Interest
    • Design Tech
    • The New Peninsula High Location
    • Employee Housing
    • Stay Connected
    • Rental of Facilities and Fields
    • Stadium Hours
    • Mitigation of Negative Declarations
    • Crestmoor Information

San Mateo Union

High School District

A Commitment to Quality Education for a Better Future

SMUHSD
    • Meet the Board
    • See School Year Calendar
    • Report a Safety Concern
    • Rent A Facility
    • Add/Check Breakfast & Lunch Balance
    • Find School Boundaries
    • Register For School
    • Learn Graduation Requirements
    • File a Complaint

      Student Health

      • Overview and Contacts
      • Cardio Health
      • Covered California
      • Drop-In COVID-19 Testing at Schools
      • Disease Prevention Measures
      • Health Requirements
        • Immunizations
        • Physical Exams and Screenings
        • Students on Medication and Administration of Medication at School
      • Health Forms
      • Teen Mobile Health Van
        • CLÍNICA AMBULANTE PARA ADOLESCENTES
      • Health Clinics
      • Health Aides
      • San Mateo Union High School District

      Health Forms (English)

      • Emergency Care Plan Form 151

        Emergency Care Plan Form 151

        Emergency Care Plan - English Form 151.pdf 355.4 KB (Last Modified on June 24, 2021)
        Comments (-1)
      • Immunization Requirements (starting July 1, 2019)

        Immunization Requirements (starting July 1, 2019)

        Updated Immunization Requirements-English_July1_2019.pdf 147.26 KB (Last Modified on January 28, 2019)
        Comments (-1)
      • Medical Consent Form 156

        Medical Consent Form 156

        Medical_Consent_Form_156_-_English_2021.pdf 94.07 KB (Last Modified on June 24, 2021)
        Comments (-1)
      • Medical Examiner's Statement Form 147-E

        Medical Examiner's Statement Form 147-E

        Medical-Examiner-Statement-Form147E-English-2022.pdf 299.25 KB (Last Modified on April 7, 2022)
        Comments (-1)
      • Medication Authorization Form 157

        Medication Authorization Form 157

        Medication_Authorization-Form157-English_2022.pdf 293 KB (Last Modified on April 7, 2022)
        Comments (-1)
      • Student Health Inventory Form 143

        Student Health Inventory Form 143

        Student Health Inventory Form English.pdf 93.28 KB (Last Modified on October 5, 2018)
        Comments (-1)
      • Tuberculosis Clearance Form 603

        Tuberculosis Clearance Form 603

        TB Clearance Form English.pdf 374.51 KB (Last Modified on October 5, 2018)
        Comments (-1)

      Health Forms (Spanish)

      • Emergencia Médica/Plan De Salud  - Form 151

        Emergencia Médica/Plan De Salud - Form 151

        Emergency Care Plan - Spanish Form 151.pdf 347.35 KB (Last Modified on June 24, 2021)
        Comments (-1)
      • Requisitos de inmunización (A partir del 1 de julio de 2019)

        Requisitos de inmunización (A partir del 1 de julio de 2019)

        Updated Immunization Requirements-Spanish_July1_2019.pdf 127.04 KB (Last Modified on January 28, 2019)
        Comments (-1)
      • Consentimiento Médico - Form 156

        Consentimiento Médico - Form 156

        Medical_Consent_Form_156_-_Spanish_2021.pdf 108.68 KB (Last Modified on June 24, 2021)
        Comments (-1)
      • Declaración del Examinador Médico - Form 147-E

        Declaración del Examinador Médico - Form 147-E

        Medical-Examiner-Statement-Form147E-Spanish_2021.pdf 324.11 KB (Last Modified on October 7, 2021)
        Comments (-1)
      • Autorización Para Tomar Medicinas - Form 157

        Autorización Para Tomar Medicinas - Form 157

        Medication-Authorization-Form157-Spanish_2021.pdf 222.13 KB (Last Modified on June 24, 2021)
        Comments (-1)
      • Formulario de Inventario de Salud del Estudiante - Form 143

        Formulario de Inventario de Salud del Estudiante - Form 143

        Student Health Inventory Form Spanish.pdf 56.5 KB (Last Modified on October 5, 2018)
        Comments (-1)
      • Formulario para la Presentación de el Certificado de Ausenica de Tuberculosis - Form 603

        Formulario para la Presentación de el Certificado de Ausenica de Tuberculosis - Form 603

        TB Clearance Form Spanish.pdf 371.7 KB (Last Modified on October 5, 2018)
        Comments (-1)

      Health Forms (Chinese)

      • 醫療緊急指引/健康護理計劃  Form 151

        醫療緊急指引/健康護理計劃 Form 151

        Emergency Care Plan - Chinese Form_151.pdf 1.09 MB (Last Modified on June 24, 2021)
        Comments (-1)
      • 圣马刁联合高中区学生的免疫要求  (2019 年 7 月 1 日起)

        圣马刁联合高中区学生的免疫要求 (2019 年 7 月 1 日起)

        Updated Immunization Requirements-Chinese_July1_2019.pdf 369.15 KB (Last Modified on January 28, 2019)
        Comments (-1)
      • 授權使用或公開健康資訊 Form 156

        授權使用或公開健康資訊 Form 156

        Medical_Consent_Form_156_-_Chinese_2021.pdf 334.02 KB (Last Modified on June 24, 2021)
        Comments (-1)
      • 体检医师声明 Form 147-E

        体检医师声明 Form 147-E

        Medical-Examiner-Statement-Form147E-Chinese_2021.pdf 782.81 KB (Last Modified on October 7, 2021)
        Comments (-1)
      • 在學校期間服用藥物的授權  Form 157

        在學校期間服用藥物的授權 Form 157

        Medication-AuthorizationForm157-Chinese_2021.pdf 685.15 KB (Last Modified on June 24, 2021)
        Comments (-1)
      • 學生健康清單 Form 143

        學生健康清單 Form 143

        Form 143 Student Health Inventory Chinese.pdf 81.8 KB (Last Modified on April 19, 2018)
        Comments (-1)
      • 無肺結核表格 Form 163

        無肺結核表格 Form 163

        Form 603 TB Clearance Form Chinese.pdf 359.76 KB (Last Modified on April 19, 2018)
        Comments (-1)

      San Mateo Union High School District

      650 N. Delaware Street, San Mateo, CA 94401

      P: 650-558-2299

      F: 650-762-0249

      E-NewsSign Up
      Site Map
      Questions or Feedback? Terms of Use Privacy Policy

      • Questions or Feedback? |
      • Blackboard Web Community Manager Privacy Policy (Updated) |
      • Terms of Use
      Copyright © 2002-2022 Blackboard, Inc. All rights reserved.
      Blackboard, Inc. All rights reserved.
      CLOSE
      CLOSE