They generally do but it carries little weight, what matters most would be courses taken and grades achieved + to a lesser extent evidence of oncampus involvement&leadership.
An example of a possible pathway for you would be TC3=>Cornell (Cornell CALS, in particular). You’d have to be among the top students in every class (not just the class you find interesting).
A more direct but way reachier path is applying EA to Wheaton - this would require excellent CLEP results in American history, biology, and chemistry.
Other direct possibility, EA, Wooster -less reachy than Wheaton
In all cases, make sure you deal with your health issues first.