Scarlett Middle School

Scarlett Middle School

RAHS-Scarlett gives Scarlett Nation youth the tools they need to live a healthy and happy lifestyle. The RAHS-Scarlett school-based health center provides physicals, sports physicals, immunizations, health and nutrition programs, mental health counseling, and more. We're in Room 204 - come over and talk to us!

What's on site at Scarlett Middle School:
  • General physical exams
  • Sports physicals
  • Sick care
  • Dental care
  • Immunizations
  • Lab tests
  • Risk assessments
  • Counseling (individual, group and family)
  • Nutrition program
  • Physical activity program
  • Referrals to community resources
  • Insurance enrollment
  • Spanish translation services

Location

Scarlett Middle School
3300 Lorraine, Room 204
Ann Arbor, MI 48108
(734) 677-2708
(734) 975-1636

Hours

Youth Advisory Council (YAC)

The Youth Advisory Council members are youth leaders that come together to advocates for students and our RAHS School-Based Health Center. Please contact your RAHS health center for more information.

Here are some of the things we’re YAC’ing about:
  • What’s happening with teens today
  • What teens really need
  • Risky behavior and how to prevent it
  • RAHS services, groups and events

Health Center Updates

  • Need your Immunizations updated? Call us to schedule an appointment!
  • Need a physical done for winter sports? Stop by the health center to pick up a form
  • Need a pair of glasses? Contact us!
  • The Mobile Dentist is returning to the health center this spring! Sign up at the health center

Staff at Scarlett Middle School

Forms

Using the RAHS Health Center is easy! Find the registration form you need below, complete it, and send it or bring it with you to the health center at your school, or the school nearest you. Call to schedule an appointment in advance. Registration forms are also available at each of the health centers.
Pediatric Registration and Consent Forms
  • 2020-2021 Pediatric Registration and Consent Forms: Read the registration packet requirements and review the Notice of Privacy Practices. Print and complete the forms and send the completed packet to the RAHS-Scarlett Middle school-based health center or fax to (734) 975-1636.
  • 2020-2021 Pediatric Registration and Consent Forms – en Espanol: Lean la Carta de Bienvenida para cumplir con los requisitos de inscripcion y revisen los documentos de Notificacion sobre Politicas de Privacidad de UMHS. Impriman las pagina 2 a la 9, Ileneen los documentos y regresenios via fax al (734) 975-1636.
  • 2020-21 General Consent for Healthcare - Child: Read and review the General Consent for Healthcare. Download and complete form using a laptop or desktop computer. It may not work on a mobile device.
    Instructions:
    • Download form
    • Save as Name plus Date of Birth of Patient (example: MariaSmith-5August2010)
    • Open saved pdf with Adobe Acrobat, not a web browser
    • Read the consent form
    • Check the boxes you agree with under “My signature represents the following”
    • Click above “Signature of Parent of Legally Authorized Representative” to add your digital signature
    • Digital Signature directions:
      • Click on “Configure New Digital ID”, then continue
      • Create a new Digital ID, then continue
      • Save to Windows Certificate Store, then continue
      • Type name and email address, then click Save
      • Click Continue
      • Click Sign
      • Save pdf
    • Check one box after “Relationship:”
    • Save completed form
    • Send to RAHSforms@med.umich.edu
Sports Physical Exam Clearance & Consent Forms
Print the two-page form. Complete and sign consent. Return the completed packet to school or fax to (734) 975-1636.

Patient Rights and Responsibilities and After Hours Care
What you can expect from your school-based health center, as well as how to get help when the RAHS Health Centers are closed.

Notice of Privacy Practices
Adult Registration and Consent Forms
  • 2020-2021 Adult Registration and Consent Forms: Read the welcome letter for registration requirements and review the Notice of Privacy Practices. Print pages 2-9. Complete each form and send the completed packet to the RAHS-Scarlett Middle school-based health center or fax to (734) 975-1636.
  • 2020-2021 Adult Registration and Consent Forms – en Espanol: Lean la Carta de Bienvenida para cumplir con los requisitos de inscripcion y revisen los documentos de Notificacion sobre Politicas de Privacidad de UMHS. Impriman las pagina 2 a la 9, Ileneen los documentos y regresenios via fax al (734) 975-1636.
  • 2020-21 General Consent for Healthcare - Adult: Read and review the General Consent for Healthcare. Download and complete form using a laptop or desktop computer. It may not work on a mobile device.
    Instructions:
    • Download form
    • Save as Your Name plus Date of Birth (example: MariaSmith-5August2002)
    • Open saved pdf with Adobe Acrobat, not a web browser
    • Read the consent form
    • Check the boxes you agree with under “My signature represents the following”
    • Click above “Signature of Parent of Legally Authorized Representative” to add your digital signature
    • Digital Signature directions:
      • Click on “Configure New Digital ID”, then continue
      • Create a new Digital ID, then continue
      • Save to Windows Certificate Store, then continue
      • Type name and email address, then click Save
      • Click Continue
      • Click Sign
      • Save pdf
    • Check one box after “Relationship:”
    • Save completed form
    • Send to RAHSforms@med.umich.edu
Additional Services for Minors
Please ask your health center about these services.

  • 2020-21 Minor Consent for Confidential Services: Read and review the Notice of Privacy Practices (above). Read and review this Minor Consent for Confidential Services. Download and complete the form as directed by health center staff.

Scarlett Middle School