As the student, I acknowledge I have satisfied the required immunizations, drug screen and criminal background check and my Institution has on record:
Immunizations: Hepatitis B, MMR, Varicella, Pertussis, TB Skin Test (or Chest X-Ray) Flu. One of the following: 1) Verification of immunization, 2) Request for Religious Exemption from Influenza Vaccination, or 3) Request for Medical Exemption from Influenza Vaccination. Drug Screen, Criminal Background Check
Additionally, I recognize while I am conducting my clinical rotation that I will be required to:
Wear my University Student Name Badge in full view identifying me as a student. If you do not have a current University Student Name Badge you must be sure to have one made through your University before starting your clinical rotation.
Wear any uniform approved by my university or contact my preceptor to determine what is acceptable in the clinical rotation practice. (Uniform scrubs or business attire only. Absolutely no jeans are allowed.)