• Forms & Documents

    Health & Medical Forms

    Please complete and return any applicable forms below to the school nurse.

    Asthma (in English)

    Asthma (in Spanish)

    Please have your child’s doctor/nurse practitioner complete this form if your child has a history of asthma and may need to use an inhaler or other asthma medication. The form must be signed by the health care provider and by the parent/guardian. Your child can carry and take the medication independently if the appropriate boxes are checked by the provider and parent/guardian. Please return the completed form to the school nurse.

    Severe Allergy

    Please have your child’s doctor/nurse practitioner complete this form if your child has a history of severe allergic reactions (anaphylaxis) and may need to use an Epipen or other emergency medication. The form must be signed by the health care provider and by the parent/guardian. Your child can carry and take the medication independently if the appropriate boxes are checked by the provider and parent/guardian. Please return the completed form to the school nurse. Note: This form is only for life-threatening allergic reactions called anaphylaxis. This form is not for seasonal or environmental allergies.

    HIPAA

    This is a medical release form. If you agree to sign it then it gives me and your child’s health care provider permission to exchange medical information. The provider can then fax me completed medical orders, medical management plans, medical histories etc. Signing the form is voluntary. Please return the completed form to the school nurse.

    Medical Management Plan

    Please have your child’s health care provider fill out this form if s/he has a medical condition that the school needs more information about. Usually the school nurse will direct you to have this form completed and returned to her.

    Seizure/Epilepsy

    Please have your child’s doctor/nurse practitioner complete this form if your child has a history of a seizure disorder/epilepsy. The form must be signed by the health care provider and by the parent/guardian. Please return the completed form to the school nurse.

    Support Programs

    Please visit Health & Support Services for more information.

    Civic Center Permit Application 

    Facilities Civic Center Application

    Oakland Unified School District allows for the use of facilities in accordance with the Civic Center act within Education Code and pursuant to Board policy. The Civic Center Act requires that each and every public school facility be made available as a civic center to members of the community and non-profit organizations for supervised and approved recreational activities, meetings and public discussion, without disruption to regular school activities. All committees and groups that plan to conduct meetings on the Oakland Tech campus MUST complete and submit the Civic Center Permit Application at least three weeks in advance. Send permit applications to the Principal.

    PTSA Forms & Documents

    Please visit PTSA Forms & Guidelines for more information.