VA Hospital


Student Information

 

Medical Documents Required

  • Required Immunizations:
    • Proof of Tetanus
    • Proof of Varicella Titer report
    • Proof of Hepatitis B Titer Report
    • Proof of MMR Titer report
    • Negative PPD within one year OR negative chest X-Ray within twelve months OR negative Quantiferon
    • Front and back of CPR card

You can submit the first page of your physical if fully completed with current immunizations

Document Checklist:

  • Application for Health Professional Trainees Form (4 pages)
  • 3313 Adult Health Only: Complete VISN7 Computer Access Request Form (5 pages)
  • Varicella Waiver if you chose to not receive this vaccine
  • Hepatitis B Waiver if you chose to not receive this vaccine
  • 3 Certificate of Completion: 1.) VHA Mandatory Training for Trainees 2.) Privacy & HIPAA Training 3.) Safe Handling for Direct Care Providers

 

Document Checklist:

 

Application For Health Professions Trainees (4 pages)

(3313 Adult Health Only) Complete VISN7 Nursing Student’s Computer Access Request Form (5 pages)

Varicella Waiver if you chose to not receive this vaccine

Hepatitis B Waiver if you chose to not receive this vaccine

2 Certificate of Completion:  1.) VHA Mandatory Training for Trainees 2.) VA Privacy and HIPAA Training. 3.) Safe Handling for Direct Care Providers