Parents/Families / Jordan Health

Jordan Health at Franklin is a School Based Health Center offered at The Franklin Campus. It is available to all students that attend the Campus. Attached is an enrollment form and family demographic data sheet to be complete by a parent or legal guardian and returned to school with your child. If you are the legal guardian please send in a copy of the legal paperwork signed by a judge along with completed forms. We will need these before we can provide services to your child.

We have a Licensed Nurse Practitioner on site that can attend to the medical needs of your child, as well as collaborate care with the students Primary Care Provider. If the student does not have a Primary Care Provider, the Licensed Nurse Practitioner at the SBHC can serve as the students Primary Care Provider. In the event the Provider at the SBHC is not available, Anthony L. Jordan has several locations where the student’s medical needs can be met. If there is an emergency please call (585)324-3726. All services are offered at no out of pocket cost to you. We do bill insurance and if your child is uninsured and you are interested in signing up for insurance, please contact us at (585)324-3726. In person appointments are offered every Wednesday. We also have Telehealth appointments that are offered every day.

Services Include: Physicals, Sick Child Visits, Medication prescriptions and refills (Restrictions apply) Immunizations, Family planning services, Mental Health Counseling (by referral)

Forms can be printed using the files below. Hard copies are also available in the Franklin Lower Main Office.

**Please make sure forms are completely filled out and signed**

Completed forms can be returned to:

MAIL: FAX: EMAIL:
Franklin Campus (585) 336-5525 FranklinSBHC@jordanhealth.org
Room 241
950 Norton Street
Rochester, NY 14610

Jordan Health Student Information Form

Jordan Health Student Information Form.pdf 127.65 KB (Last Modified on August 25, 2021)

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Adolescent Patient Portal Consent Form

Adolescent Patient Portal Consent.pdf 50.59 KB (Last Modified on August 25, 2021)

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Franklin School Based Health Center Release of Information

Franklin School Based Health Center Release of Information.pdf 194.5 KB (Last Modified on August 25, 2021)

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Patient Registration Form (UDS)

Patient Registration Form.pdf 47.59 KB (Last Modified on August 25, 2021)

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The Rochester City School District does not discriminate on the basis of an individual's actual or perceived race, color, religion, creed, ethnicity, national origin, citizenship status, age, marital status, partnership status, disability, predisposing genetic characteristics, sexual orientation, gender (sex), military status, veteran status, domestic violence victim status or political affiliation, and additionally does not discriminate against students on the basis of weight, gender identity, gender expression, and religious practices or any other basis prohibited by New York State and/or federal non-discrimination laws in employment or its programs and activities. The District provides equal access to community and youth organizations.

Jordan Health Student Information Form

Adolescent Patient Portal Consent Form

Franklin School Based Health Center Release of Information

Patient Registration Form (UDS)