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Health Forms

These are the Clinical Requirements for the following students:
Nursing, Cardiovascular Technology, Radiologic Technology, Emergency Medical Services, Physical Therapist Assistant, Medical Laboratory Technician, Diagnostic Medical Sonography.

Please be sure you read the dates for when you can actually do the Criminal Background Check and the Urine Drug Screen tests. (See Instructions below for completion dates) If the dates that you complete these two items are not during the appropriate times, you will have to REDO and REPAY for them to be done at the appropriate times. Urine Drug Screening is the only thing that is NOT due by the Health Form Deadline date.

MOST FREQUENTLY ASKED QUESTIONS ABOUT CLINICAL CLEARANCE REQUIREMENTS

Health Form Deadlines are as follows:                                 

Accelerated NursingApril 10
Fall NursingJuly 10
Spring NursingDecember 10
Transition into Nursing (LPN-RN)Spring admit-February 1
Summer admit-June 1
Fall admit-September 1
EMS-ParamedicSeptember 1
Cardiovascular TechnologyFebruary 1
Radiologic TechnologyJuly 10
Physical Therapist AssistantJuly 10
Medical Laboratory TechnicianDecember 10
Diagnostic Medical SonographyDecember 10

*STUDENTS MUST MAKE A COPY OF ALL CLINICAL/HEALTH DOCUMENTS AND KEEP AS A PERSONAL FILE PRIOR TO SUBMISSION. 
THE HSD CLINICAL COORDINATORS WILL NOT BE ABLE  TO PROVIDE  ADDITIONAL COPIES OF ANY HEALTH DOCUMENTS AFTER SUBMISSION.*


NEW STUDENT FORMS AND LINKS:

ANNUAL UPDATE FORMS:

  • Tuberculosis Questionnaire (for those with a history of a positive PPD) *Due Annually
  • PPD Form (for those with negative PPDs) *Due Annually
  • Flu Form *Due Annually
  • Flu Waiver *Only submitted once, must have a medical, religious, or moral reason. Note that some facilities may not accept moral reasons which may endanger your clinical attendance.