All programs have agreements with affiliating clinical agencies which require verification of compliance with employee health standards. This form must be completed before you will be allowed to go to clinical affiliation sites; please refer to your program-specific submission deadlines for more details. In many programs, clinical experiences begin within the first two weeks of school. If there is anything missing or incomplete from the form, you will not be allowed to attend clinical or continue with your program. Please include all necessary copies of lab reports.
As of Fall 2013, all School of Health Education programs will be requiring new students to submit their background check and health information to CertifiedBackground.com. You will receive your package code from your Program Director(s).
Continuing students will still be required to submit updated copies of their TB, Influenza, and Health Care Provider CPR on an annual basis to the School of Health Education office.
Health Screening Form (PDF, 179 KB)
Background Information Disclosure Form (PDF, 179 KB)