/academics/student-resources/

Health Forms & Records


Required Student Forms include:

  • Annual Student Health Form (physical exam)
  • Annual Immunization Form
  • Annual Influenza Vaccine Waiver
  • Hepatitis B Immunization Waiver
  • Clinical Site Information Sharing Authorization Approval Form
  • Waiver Form for Educational Release of Student Information
  • Photo Media Release Authorization
  • Student Acknowledgement of Background Check Policy
  • Student Handbook Acknowledgement Form
  • Student Oath and Affirmation Form

 

Health Requirements/Forms for Records

  VECHS Waiver form (required by FDLE)
  Annual Student Health Form
  Student Immunization Form
  Annual Influenza Vaccine Waiver
  Hepatitis B Immunization Waiver Form
  Clinical Site Information Sharing Authorization Approval Form
  Student Educational Release of Student Information
  Photo Media Release Authorization Form
  Student Acknolwedgement of Background Check Policy
  Student Oath and Affirmation Form
  Student Handbook Acknowledgement Form
  Safety Guidelines for Clinical Practice (For Graduate Students Only)
  Safety Guidelines for Clinical Practice Acknowledgment Form (For Graduate Students Only)
  Health Insurance Portability & Accountability (HIPAA) Requirements

 

Information on the TB Test Requirements 

Tutorials to View for Certification

**Please watch this short tutorial before you sign the Health Insurance Portability and Accountability Act (HIPAA) Requirements Form: 

http://dbnursing.fau.edu/intranet/documents/medfilms/video/index.htm

 

Self-Insurance Plan (SIP) requirements: Florida Atlantic University has a Self-Insurance Program which covers all of our nursing students during practicum experiences. Please be aware that the college SIP only covers you in the role of the student.

 

You are required to complete the SIP 101 online training program located at:

http://www.flbog.sip.ufl.edu/cme/

 

sip SIP 101: Partners in Protection
For SIP Participants Only NO CME Credit

More Info
Register for Course