The following are Uniform Health Requirements for Students Utilizing FVHCA Member Healthcare Facilities:
Tuberculin Test
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Hepatitis B Vaccination
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MMR
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Varicella Vaccination
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Influenza Vaccination
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Tdap
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CPR
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Give the date of the last TB skin test or IGRA (quantiferon gold test OR T-spot).
If greater than 12 months, a two step is required, quantiferon gold test OR T-spot For known positive TB skin test or quantiferon gold, evidence of a negative baseline chest x-ray at or within one year of starting their initial clinical experience is required AND an annual TB questionnaire. |
FVHCA Hepatitis B Documentation Form
AND 1 of the following Documented: Hepatitis B vaccination series (or series + Titer) OR Signed declination OR A positive Hepatitis B titer |
Dates of 2 MMRs
OR Positive rubella titer, rubeola titer and mumps titer |
Two (2) Varicella Vaccination dates
OR Positive Varicella titer |
Prior to November 15th for Fall session/semester, and prior to any Winter/Spring session/semester.
For Clinicals beginning April 1st and ending prior to October 1st. Students are required to be compliant with facility policy. Check with your school coordinator for more information. (Subject to CBC accommodations) |
Documentation of one time dose of the Tdap vaccine and then Td every 10 years.
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Current valid American Heart Association Healthcare Provider (BLS) documentation required.
Note: Not needed if not in direct patient care. May or may not be required for CNA, check with School Coordinator or facility |
PLEASE NOTE: Physical exams are not required, however, some non-FVHCA facilities may have more stringent requirements. Please check with each facility for more information.
IMPORTANT: Health care requirements are determined by the organization and the FVHCA and not by the specific department within an organization. For example, all of Agnesian HealthCare clinical students are accountable for the above requirements and a specific department or unit cannot add or change these requirements.
If you would like a printable version of these health requirements, please select/download the document below.
IMPORTANT: Health care requirements are determined by the organization and the FVHCA and not by the specific department within an organization. For example, all of Agnesian HealthCare clinical students are accountable for the above requirements and a specific department or unit cannot add or change these requirements.
If you would like a printable version of these health requirements, please select/download the document below.

Uniform Health Requirements_11.14.pdf |