Health Resources & Information / OUSD Health Forms

Health Resources & Information

Health Forms

Immunization Forms

1. Parent Health Requirements Letter

2. Report of Health Examination for School Entry (English/Spanish)

3. Free Immunization Clinics (English)

4. Free Immunization Clinics (Spanish)

5. Free Immunization Clinics (Chinese)

Dental Forms

1. Oral Assessment Form (English)

2. Oral Assessment Form (Spanish)

3. Alameda County Community Dental Resources Pamphlet

4. Alameda County Dental Resources - Medi-Cal Providers

Medication Forms

1. Authorization for Medication Form

2. Permission to Carry and Self Medicate

Diabetes Form

1. Diabetes Medical Management Plan

Asthma Forms

1. Asthma Action Plan (English)

Severe Allergies Forms

1. Severe Allergies Action Plan

Head Lice

1. Head Lice Parent Letter (English)

2. Head Lice Parent Letter (Spanish)

3. Head Lice Parent Letter (Chinese)

4. Head Lice Parent Letter (Vietnamese)

5. Head Lice Parent Letter (Cambodian)

Nondiscrimination Policy
OUSD prohibits unlawful discrimination against any protected group as identified under Education Code 200 and 220 and Government Code 11135, and Title IX, including actual or perceived sex, sexual orientation, gender, ethnic group identification, race, ancestry, national origin, religion, color, mental or physical disability, age, or on the basis of a persons association with a person or group with one or more of these actual or perceived characteristics in any District program or activity that received or benefits from state financial assistance, including athletic programs. Complaint forms are available at school sites and at the Office of the Ombudsperson, located in the District's Paul Robeson Administrative Building, 1025 Second Avenue, Room 316. For further information, call 273-3243. BOARD POLICY 0410, 5145.3