PT Adult

Required Forms

  1. Student Health Screening Form - 2 pages
  2. Student Data Form
  3. Confidentiality Agreement Form (PDF Format) - 3 pages
  4. Copy of Student and School Liability Insurance Forms
  5. Copy of CPR Card
  6. TB Skin Test (must have 2: one within 1 year and one within 3 months)
  7. If any of your clinical fall between October 1st - March 31st, you must show proof of flu shot

Email Forms To:

General Information

Attention Students! Please note that you must turn in your forms 8 weeks prior to your first day of clinical rotation.