Harrow House and Oldfeld School Medical Form


Student Information


Parent / Guardian Information


Course Dates

Arrival and departure days are Saturday only.


Medical Consent

Parent or guardian must complete this form for students under 18 years of age.


Medical Information


I give permission for the student to receive the following non prescribed medication from the College:


I give permission for the student to receive the following medical treatment where necessary:


In the event of a medical emergency, you will be contacted at the earliest possible time to give updates and seek detailed consent.

A child (anyone under the age of 16 years) can consent to treatment as long as they have enough understanding and intelligence to appreciate fully what is involved in their treatment. This is known as being ‘Gillick competent’. Additional consent by a person with parental responsibility is not required. Any person over the age of 16 years is deemed capable of consenting to their own treatment.

Please inform Harrow House by email if the medical condition of your child changes between the period of signing this Medical Consent Form and the arrival day.



Please check all information carefully before submitting, thank you for completing the Medical Form.

Information recorded on this form will be held on our secure internal systems for one year unless we are required by law, to hold it for a longer period. The information will be used for the purposes of safeguarding and the welfare of students during their stay. Information recorded on this form will be treated as strictly confidential and only those members of staff who need access to these records will have the ability to do so. If you need further information regarding our policies on data processing and retention please see our website.