Remedial Clinical Registration
Current Remedial Students: Please enter your information below to begin submitting your documents for in-person clinicals. After submission, you will receive an email with the booking link to choose your dates.
Name
First Name
Last Name
Government Issued Photo ID
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Photo of Face (for your badge, clear background, looking straight ahead)
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BLS Card (American Heart Association)
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Physical (within 1 year)
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PPD or chest x-ray (1 year for PPD, 5 years for x-ray)
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10 panel drug screen (within 1 month, results must show "negative" for each substance
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MMR Vaccine or Positive Titer Results (within 1 year for titers)
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Varicella Vaccine or Positive Titer Results (within 1 year for titers)
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Hep B Vaccine, Positive Titer Results, or Declination Form
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TDAP Vaccine (within 10 years)
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Flu Vaccine or Exemption Form (current flu season)
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COVID Vaccine or Exemption Form
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Upload Any Additional Documents Here:
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