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Health Forms & Records

Please note, a level-two background check is required of all applicants prior to admission to the College of Nursing, and yearly while in the clinical component in the nursing program.

Students must provide proof of the following requirements for their CastleBranch account:

  • Measles, Mumps & Rubella (MMR)
  • Varicella (Chicken Pox)
  • Hepatitis B
  • Tuberculosis (TB) and Annual Student Health Form (see information link at the bottom of the page)
  • CPR Certification BLS or ACLS from American Heart Association(AHA) /Military
  • Tetanus
  • Annual Influenza vaccine
  • HIPPA Certification (see video link at bottom of this page)
  • Health Insurance
  • Self-Insurance Policy Acknowledgement (SIP) (see PowerPoint link at bottom of this page)
  • Student Handbook Acknowledgement Form
  • Ed Release of Student Information
  • Photo Media Release Authorization

 

Health Requirements/Forms for Records

  VECHS Waiver form (required by FDLE/FBI)
  Tuberculosis (TB) and Annual Student Health Form 
  Student Immunization Form
  Clinical Site Information Sharing Authorization Approval Form
  Student Educational Release of Student Information
  Photo Media Release Authorization 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

HIPPA requirements:

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

 

Self-Insurance Plan (SIP) requirements:

Florida Atlantic University is a participating member in the Florida Board of Governors Self-Insurance Program (SIP) which covers all FAU nursing students during practicum experiences. Please be aware that the university SIP only covers you in the role of the student.

You are required to complete the SIP 101 online training program located at: https://flbog.sip.ufl.edu/continuing-education-online/#  

 

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

More Info
Register for Course

 

FOR TECHNICAL SUPPORT WITH SIP, PLEASE CALL: 352-273-7006  

PLEASE DO NOT CALL THE SCHOOL