Health Forms & Records

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
• Notarized Student Oath and Affirmation 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 Acknowledgement 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 
http://www.cdc.gov/tb/publications/factsheets/testing/skintesting.htm