Forms

All the following are required:

  • Essential Function Form signed by physician
  • TB Skin Test (two step) or chest x-ray
  • Measles/Mumps/Rubella/Varicella Titers
  • Hepatitis B Titer
  • CPR/First Aid certification for the Healthcare Provider (must include 2 man CPR, 1 man CPR, infant/child CPR, Heimlich maneuver, AED, Bag/Valve/Mask)
  • Clinical Site Training Documents
  • Hep B and/or MMRV waivers if non-immune

It is the student's responsibility to keep these current. Failure to have these forms on file will mean that you will be unable to begin your clinical experience.