Downloadable Forms

Medical & Health Forms

All OUSD health forms are available in the right column on this page or on the OUSD Health Forms Page.

Vaccinations

All families are required to provide documentation verifying that their student has met state requirements for school immunizations.

For students entering 7th and 8th grade, documentation must include 2 doses of the Varicella (chicken pox) vaccination as well as the Tdap booster shot in addition to the  other school required vaccinations.

California Immunization Requirements K-12th Grade

• Personal belief exemptions are not accepted. 
• Medical exemptions for school and child care entry must be issued through the California Immunization Registry - Medical Exemption (CAIR-ME) website (cair-me.cdph.ca.gov). Medical exemptions can only be issued by doctors (MDs or DOs) licensed in California and must meet applicable Centers for Disease Control and Prevention (CDC), Advisory Committee on Immunization Practices, and American Academy of Pediatrics (AAP) criteria. 
• Provide this link: Obtaining Medical Exemption: Guide for Parents and Physicians
• Include this link as a resource for our families looking for a place to get vaccinations or medical care: Alameda County Immunization Clinics

Students with medical conditions and/or needing access to medications during school hours:

The applicable form(s) should be completed, signed, and dated by both a medical provider and the parent. Commonly needed school medical forms are available in the right column on this page. These forms need to be renewed annually.

• If families would like to authorize their child to self-carry/self administer medications such as inhalers, epipens, over the counter medications for cramps/headaches/allergies/medicated creams/ointments, etc. make sure the appropriate box on the form is checked. 
• If families would like to have medications or a back-up supply kept in the nurse's office, please have an adult deliver the medication(s) to the school in the original, labeled container from the pharmacy along with the completed medical orders.
• Controlled substances may not be self-carried and must be kept in a locked place at the school. A designated trained staff member will assist any student requiring access to controlled substances (such as ADHD medications) during school hours.

Completed form(s) can be emailed to Nurse Hurt or hard copies of the form(s) may be delivered to the school to be given to the school nurse for review and processing.