8/8/2019 042214 Compliance PA Requirements Incoming
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Clinical/Practicum Compliance Requirements
Physician Assistant Program
Incoming Students(First Year Students)
Please use this form as a guide, as all aspects must be completed prior to attendingclinical/practicum.
Physical Eam and Immuni!ation Forms
You will need to have documentation of a physical exam completed within the last 12 months.
Students are reuired to complete the o!cial "#$P %mmuni&ation 'ecord and Physical (xamination
)orm.
*his process may ta+e one to two months to fully complete so please begin the process promptly.
***If you have not started the Hepatitis B series this will take up to seven months to
complete, so it is highly recommended that you begin as soon as possible.***
Required immuni!ation are as "ollo#s$
• *woStep PP- with negative results within the last year0 in addition, the PP- will need to be
current for the time you are in clinical.
• *dap vaccine within the last 1 years
• )lu vaccine for the current u season
%eri&cation o" immunity "or$
• $epatitis 3 series three vaccines and a positive titer showing immunity
• 4aricella either the twovaccine series or positive blood titers showing immunity
• 55' either two vaccine series or positive titers showing immunity for each of the following65easles, 5umps and 'ubella
"#$P %mmuni&ation 'ecord and Physical (xamination )orm
Seasonal %nuen&a )orm -ocumentation must be submitted by 7ctober 1st annually. *his is reuired for all
)all, 8inter and Spring clinical/practicum rotations.
$%P99 *raining
Safety and $ealth 7nline *raining
"P' "erti:cation 5ust be the American Heart Association – BLS for the Healthcare Provider 'R the American
Red Cross – CPR/AED for the Professional Rescuer . 5ust be current. *he renewal date will be set according to the
expiration date of your certi:cation.
Screenings
You #ill e alerted y Certi&ed ac*ground #hen to initiate this process+ ,he screening
results must e on &le one month prior to the start o" the clinical assignment+
;og into "erti:ed 3ac+ground to create a compliance pro:le using the program code you receive via
email. -se your .reel email address and -niersity I. to create your pro&le+
%n order to become compliant prior to your clinical/practicum, you must initiate the screening process
four months prior to the clinical/practicum start date. *his will give you ample time to receive your
results.2 ?/@/21>
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8/8/2019 042214 Compliance PA Requirements Incoming
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Clinical/Practicum Compliance Requirements
Physician Assistant Program
Incoming Students(First Year Students)
"erti:ed 3ac+ground "ustomer Service can answer any technical uestions regarding your pro:le
documents. You can contact them at AAAB1C@2@B.
Al#ays chec* your pro&le to ensure the screening process is moing "or#ard+
)3% )ingerprint
State "riminal 3ac+ground "hec+
"hild 9buse "learance
-rug Screen
(mergency "ontact )orm
Student Pro:le D Euestionnaire for "linical (ducation
9cademic %ntegrity "ontract
3ehavioral (xpectations in ;ab
;ab Safety Fuidelines
2 ?/@/21>
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