Make A Difference

School-Based Health Center - Clinic

Monday-Friday • 8:00am-4:30pm • Suite 1124 
Office (504) 613-5649 • Fax (504) 459-2677

Our School-Based Health Center (SBHC) located on school grounds is a primary care health center that serves the students of N.O. Charter Science & Mathematics High School. Health services are provided by the LSU Health Sciences Center Department of Pediatrics. We are open year-round, Monday - Friday 8:00 am- 4:30 pm, and provide health services to adolescents ages 10 and up. The health center accepts all patients with or without health insurance. Read More

Provides access to
  • Pediatricians
  • Nurse Practitioners 
  • Registered Nurses 
  • Behavioral Health Specialist (a counselor) Ophthalmology
Services offered include
  • Physicals, including sports physicals
  • Immunizations including COVID-19 vaccine
  • Treatment of minor illness and injury
  • Monitoring of chronic illnesses such as diabetes, asthma, and obesity Mental health and substance abuse help and counseling services STD testing
  • Routine lab tests, including COVID-19 testing

Forms

All forms can be completed online but must be signed by hand. For those who may not have access to a computer or printer, all forms are available in person in the clinic. All forms require an original signature and should not be scanned or emailed.

Notice of Privacy Practices Protected Health Information

This Notice Describes How Your Medical/Dental Information May Be Used and Disclosed and How You Can Get Access to this Information. Please Review it CAREFULLY. The law requires us to make sure your medical information is kept private. It also requires us to give you this notice of our legal duties and privacy practices to tell you what we can do with the medical information about you. To better understand this law, you may want to read it. It is in Title 45 of the Code of Federal Regulations, Part 164. We have the right to change this notice and our privacy practices in the future. Any changes made will apply to all of the medical information we have about you at this time. If we make a change, we will put up a notice in our building. We will also give you a copy of the new notice if you ask for it. You can also read about these changes on the computer at this website: www.lsuhsc.edu.

DownloadEnglish • Spanish


COVID-19 Forms

Hippa Notice of Patient Privacy Practices

We are committed to protecting medical information about you. We create a record of the care and testing services you receive. We need this record to provide you with quality care and to comply with certain legal requirements. This notice applies to all of the records of your care generated or maintained by Advocates for Science and Math Education/LSUHSC SBHC. 

Download: English • Spanish


Student Consent Form for Optional COVID-19 Testing

New Orleans Charter Science and Mathematics High School take the health and safety of our students and their families very seriously. As such, in addition to steps to screen for the virus and prevent its spread on campus, we are adding a voluntary K-12 COVID-19 testing program for students. This program uses Abbott Laboratories BinaxNOW tests. We will only test with your consent. If you are willing to provide consent for us to administer this test on your child or yourself (if age 18 or older), please fill out this form.

Download: English • Spanish


Pfizer-BioNTech COVID-19 Vaccine Consent and Screening Form 

Download: English • Spanish

School-Based Health Clinic Forms

Virtual Care involves the use of electronic communication to deliver clinical health care services between a practitioner and a client who are located in two different locations. The laws that protect privacy and confidentiality of medical information also apply to telehealth, so any consultation via virtual care is secure and confidential. View

Annual Required School Nurse Forms
Other School Nurse Forms