Health Forms

Required Student Health Forms

These forms should be completed and emailed to Kathleen Alabbasi in the Middle School Nurse’s Office at  nuse@hollandhall.org or faxed to 918-879-4798, or by mail to Holland Hall, 5666 E 81st St, Tulsa, OK, 74137, by July 30.

  • All students entering grades 4th-12th MUST complete all required health forms.
  • All students new to Holland Hall MUST complete all required health forms and submit current immunization records.
  • All students in grades EPK-3rd MUST complete the Emergency Authorization Form.
  • All students entering Kindergarten MUST submit a new immunization record.
  • All students entering Kindergarten MUST complete the Physical Form.
  • All students entering 7th grade MUST submit documentation of a recent Tdap booster.

Health Form Check List »

Emergency & Student Health Info Form (all students in EPK-12) »

Physical Examination Form (all students in Kdg, 4th-12th, and all new students in Kdg-12th) »

Medical History Form (all students in 4-12th, and all new students) »

Authorization for Prescription Medication/Inhaler Form (only if prescription medication is needed during the school day) »

Sudden Cardiac Arrest Info & Form (7th-12th Grades ONLY) »

Concussion & Head Injury Awareness & Management Form (7th-12th Grades ONLY) »

OSSAA Eligibility Form (7th & 9th Grade only, and all new students) »

Post-Concussion Return-to-Learn Protocol

Holland Hall recognizes the need to develop researched based practices to support students who have experienced concussive events and are managing a return to full activity. As new research surfaces, we continue to better understand the diagnosis and treatment of concussions. Please take a moment to familiarize yourself with our Post-Concussion Return-to-Learn Protocol.

Read the Post-Concussion Return-to-Learn Protocol »