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Required Health Forms (Visiting Students Only)

All Summer Programs visiting families will be required to complete the following forms, where applicable, by the noted deadlines. Current Punahou students do not need to submit these forms.

Authorization for Medical Treatment Form – Due April 25, 2025.
Parents or guardians of a visiting student(s) will be required to download, sign and upload the completed Authorization for Medical Treatment form annually. Signing this form will give permission to our Health Center staff to provide medical treatment to your child in case of any illness or injury. Please upload the form to our Health Center via the secure link below by April 25, 2025.
*Revised February 2025

Tuberculosis (TB) Form (Homeschool, International and Out-of-State Students Only)

Hawaii State Department of Health Requirements for Schools
Students who are not currently enrolled in a Hawai’i school (which includes home-schooled students, International and continental U.S. residents) must meet the State of Hawai’i assessment requirements and provide a TB clearance that has been done within 12 months prior to the start of their Summer class or lesson.
Students who have a TB form on file with Punahou School that was submitted on or after Summer 2022 do not need to submit a new form.

All applicants must have a U.S. licensed practitioner (MD, DO, APRN, PA) complete and sign the Tuberculosis form to confirm that the student is free from TB. The Hawai’i Department of Health (DOH) Form will also be accepted.

The following are acceptable forms to TB screens or tests.
  • Negative TB Risk Assessment — This assessment must be performed by a U.S. licensed practitioner.
  • Negative Tuberculin Skin Test (TST) — This test must be performed in the U.S. by a U.S. licensed physician (MD, DO, APRN, PA).
  • QuantiFERON® TB Gold-in-Tube Test or T-Spot® Test — This test may be performed in the U.S. or internationally by a U.S. licensed physician.
  • Positive Test and Negative Chest X-ray. The chest x-ray must be performed in the U.S. by a U.S. licensed physician (MD, DO, APRN, PA)
Tuberculosis (TB) forms must be submitted by the following deadlines.
  • Early Session Programs (June  9 – June 13) – May 30, 2025
  • Summer Session Programs (June 16 – July 18) – May 30, 2025
  • Extended Session Programs (July 21 – July 25) – July 7, 2025
Students will not be allowed to attend summer classes or lessons until these mandatory health forms have been received and approved by the Health Center Office.

Medical/Travel Insurance
We highly recommend that International and Continental U.S. students have medical and/or travel insurance for the safety of their children and to ensure proper medical care.
 
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