STUDENT HEALTH FORMS

Health Clearance Form - The health clearance form is required for all incoming students. Please download and follow the instructions outlined on the form. This form must be completed prior to the start of class and returned to SHS to be medically cleared to start class/clinical.  Medical and GSN students download this form:  2014 MEDICAL/GSN HEALTH CLEARANCE FORMS  GSBS students download this form2014 GSBS HEALTH CLEARANCE FORMS   GSBS MD/PhD download this form: GSBS MD/PhD HEALTH CLEARANCE FORMS

Respirator Fitness Form - This form is to be completed by all second year students (GSBS student are excluded). An e-mail will be sent by Student Health to direct you when the form is to be completed. The mask fitting process fits students with special masks to protect them from patients with droplet spread infections including Tuberculosis. Please download this form and return to SHS. Respirator Fitness Form.  For the complete N95 Mask Fit Guidelines: N95 MASK FIT GUIDELINES

TST Form - This form must be completed for annual TST testing for ALL GSN and School of Medicine students. An e-mail will be sent by Student Health Services directing you to fill out this form during the annual TST clinics (held each spring). If you have had a positive TST in the past, you do not need to attend the TST clinics. However, you must answer the first 2 questions and symptom review section and return to Student Health each year. **NOTE: GSBS students are not required to have annual TST testing. TB Screening Form

Refusal to Vaccinate Form - Please download this form if you need to defer a vaccination required by Student Health. Refusals will be reviewed with the Student Health Director, Dr. Fournier and your program director to determine if it will affect your course of study. Please return this form to SHS once completed.  Vaccine Refusal Form