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, Dental Hygienist.
Please be sure you read the dates for when you can actually complete the Criminal Background Check and the Urine Drug Screen tests. See Health Form instructions for completion dates. If the dates that you complete these two items are not during the appropriate times, or if you pay and process before dates listed, you may have to REDO and REPAY for them to be done during the appropriate time frame.
Health Form Deadlines are as follows:
| Nursing | Due Date | Program | Due Date |
|---|---|---|---|
| Summer Admission (Accelerated) | April 10 | Radiologic Technology | May 1 |
| Fall Admisison | July 10 | Physical Therapist Assistant | November 1 |
| Spring Admission | December 10 | Cardiovascular Technology | February 1 |
| LPN-RN Pathway Military-RN Pathway Paramedic –RN Pathway | Summer admit-June 1 | Diagnostic Medical Sonography | December 10 |
| LPN-RN Pathway Military-RN Pathway Paramedic –RN Pathway | Fall admit-September 1 | Dental Hygienist | July 10 |
| LPN-RN Pathway Military-RN Pathway Paramedic –RN Pathway | Spring Admit-February 1 | Medical Laboratory Technician, Part 2 | December 10 |
| Program | Due Date | Program | Due Date |
|---|---|---|---|
| EMS-Paramedic-Fall | July 10 | EMT Fall admission | July 10 |
| EMS-Paramedic-Spring | December 10 | EMT Spring Admission | December 10 |
| EMT Summer Admission | May 1 |
*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:
- Health Sciences Students Health/clinical requirements PowerPoint with audio *NEW STUDENTS are required to view appropriate chapter instructions
-Student Criminal Background and Urine Drug Screen Instructions
-Health Form Orientation
-EMT Health Form Instructions - Student Health Form Attachment
- Student Health Form FAQs
- Health Sciences Division Clinical Student Booklet (has answers to most questions)
- Criminal Background & Urine Drug Screen Instructions & Link
- Health Care Resource Sheet
- Medical Lab Tech PART I Student Health Form
- Medical Lab Tech PART II Student Health Form
- Nursing Uniform Policy
- Nursing Uniform Order Form
- Late Admit Students
- Readmit Students
- EMT Student Health Form
- Polio Health Form -program specific requirement
- How to find a CPR course
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.