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
      "
    • Hidden Multi Media Articles
    • Board of Trustees
    • Superintendent
    • General Information
    • School Closure and Spring 2021 Info
  • Departments
      "
    • Athletics
    • Finance and Support Services
    • Business Services
    • 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
    • A.V.I.D.
    • Career Technical Education
    • English Learner Programs
    • Family Engagement
    • Gifted and Talented Education
    • 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
    • Dual Enrollment in College Courses
    • Chromebook Resources
  • 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
      "
    • Business Fees
    • Community Events of Interest
    • Design Tech
    • The New Peninsula High Location
    • Employee Housing
    • Stay Connected
    • Rental of Facilities and Fields
    • Stadium Hours
    • Stadium Lights
    • 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

      Student Health

      • Overview and Contacts
      • Covered California
      • Cardio Health
      • Flu Season
      • Disease Prevention Measures
      • Health Requirements
        • Immunizations
        • Physical Exams and Screenings
        • Students on Medication
        • Administration of Medication at School
      • Health Forms
      • 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 Form English.pdf 79.72 KB (Last Modified on October 5, 2018)
        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 2019.pdf 143.02 KB (Last Modified on July 25, 2019)
        Comments (-1)
      • Medical Examiner's Statement Form 147-E

        Medical Examiner's Statement Form 147-E

        Medical-Examiner-Statement-Form147E-English-2020.pdf 212.36 KB (Last Modified on March 10, 2020)
        Comments (-1)
      • Medication Authorization Form 157

        Medication Authorization Form 157

        2019Medication Authorization-Form157-English.pdf 169.54 KB (Last Modified on July 23, 2019)
        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)

      • Emergency Care Plan Form 151

        Emergency Care Plan Form 151

        Emergency Care Plan Form Spanish.pdf 87.21 KB (Last Modified on October 5, 2018)
        Comments (-1)
      • Immunization Requirements - Spanish (Starting July 1, 2019)

        Immunization Requirements - Spanish (Starting July 1, 2019)

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

        Medical Consent Form 156

        Medical Consent Form 156 - Spanish 2019.pdf 79.47 KB (Last Modified on July 25, 2019)
        Comments (-1)
      • Medical Examiner's Statement Form 147-E

        Medical Examiner's Statement Form 147-E

        Medical Examiner Statement Form Spanish.pdf 234.16 KB (Last Modified on October 5, 2018)
        Comments (-1)
      • Medical Authorization Form 157

        Medical Authorization Form 157

        2019Medication-Authorization-Form157-Spanish.pdf 156.76 KB (Last Modified on July 23, 2019)
        Comments (-1)
      • Student Health Inventory Form 143

        Student Health Inventory Form 143

        Student Health Inventory Form Spanish.pdf 56.5 KB (Last Modified on October 5, 2018)
        Comments (-1)
      • Tuberculosis Clearance Form 603

        Tuberculosis Clearance Form 603

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

      Health Forms (Chinese)

      • Emergency Care Plan Form 151

        Emergency Care Plan Form 151

        Emergency Care Plan Chinese - Form 151.pdf 361.88 KB (Last Modified on April 19, 2018)
        Comments (-1)
      • Immunization Requirements - Chinese (Starting July 1, 2019)

        Immunization Requirements - Chinese (Starting July 1, 2019)

        Updated Immunization Requirements-Chinese_July1_2019.pdf 369.15 KB (Last Modified on January 28, 2019)
        Comments (-1)
      • Medical Consent Form #156

        Medical Consent Form #156

        Medical Consent Form 156 - Chinese 2019.pdf 337.56 KB (Last Modified on July 25, 2019)
        Comments (-1)
      • Medical Examiner's Statement Form #147-E

        Medical Examiner's Statement Form #147-E

        Form 147-E Medical Examiners Statement Chinese.pdf 379.46 KB (Last Modified on April 19, 2018)
        Comments (-1)
      • Medical Authorization Form #157

        Medical Authorization Form #157

        2019MedicationAuthorizationForm157-Chinese.pdf 597.2 KB (Last Modified on July 23, 2019)
        Comments (-1)
      • Student Health Inventory Form #143

        Student Health Inventory Form #143

        Form 143 Student Health Inventory Chinese.pdf 81.8 KB (Last Modified on April 19, 2018)
        Comments (-1)
      • Tuberculosis Clearance Form #163

        Tuberculosis Clearance 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 © 2002-2021 Blackboard, Inc. All rights reserved.
      Blackboard, Inc. All rights reserved.
      CLOSE
      CLOSE