Pi Beta Phi OT - adult outpatient neuro program

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 your clinical falls between October 1st - March 31st, you must have proof of flu shot

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General Information