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Department of Veterans Affairs Medical Center Nursing School Affiliation Health Clearance Form School Semester Course Site Days Hours Instructor Email Rotation start/end / Student Name Varicella titer date or dose date MMR titer Hepatitis B vaccine Flu Vaccine Date PPD Placement Results If positive PPD Chest x-ray date results Tetanus/ DPT Booster CPR expiration.
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How to fill out nursing school affiliation health

01
Step 1: Gather all necessary documents and forms required for affiliation health.
02
Step 2: Start by filling out personal information such as name, address, contact details, and date of birth.
03
Step 3: Provide academic information including the name of the nursing school, course details, and any previous affiliations.
04
Step 4: Fill out the health history section honestly, mentioning any medical conditions or allergies.
05
Step 5: Answer all questions related to immunizations and vaccinations accurately.
06
Step 6: Include any additional documents or certificates required for the affiliation health form.
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Step 7: Review the filled form for any errors or incomplete information.
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Step 8: Submit the completed nursing school affiliation health form to the designated authorities.

Who needs nursing school affiliation health?

01
Individuals who are pursuing a nursing degree or planning to enroll in a nursing school.
02
Individuals who are required to complete an affiliation health form as a part of their nursing school requirements.
03
Students who are preparing for clinical rotations or internships in healthcare settings.
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Nursing school affiliation health is the process of connecting nursing schools with healthcare facilities to provide clinical training opportunities for nursing students.
Nursing schools are required to file nursing school affiliation health.
To fill out nursing school affiliation health, nursing schools need to provide information about their program, clinical training sites, and agreements with healthcare facilities.
The purpose of nursing school affiliation health is to ensure that nursing students receive quality clinical training and education in healthcare settings.
Information such as the name and location of the nursing school, details of clinical training sites, and agreements with healthcare facilities must be reported on nursing school affiliation health.
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