• Student Training (General)

  • Format: (000) 000-0000.

  • Parking Form

  • Clinical Student Parking Information- put NA if you are not driving yourself*
  • Print the parking form for your reference:

  •  ***REQUIRED***

    Student Emergency Contact Information

     

            

     

                                 

  • Temporary or permanent residence of greater than or equal to 1 month in a country with high TB rate. Any country other that the United States, Australia, New Zealand, Northern or Western Europe. *
  • Current or planned immunosuppression. Including human immunodeficiency virus (HIV) infection, organ transplant recipient, treatment with a TNF-alpha antagonist (e.g. infliximab, etanercept, or other), chronic steroids (equivalent of prednisone greater or equal to 15mg/day for greater or equal to 1 month) or other immunosuppressive medication.*
  • Close contact with someone who has had infectious TB disease since the last TB test.*
  • Productive, persistent cough lasting 2-3 weeks in duration?*
  • Blood in sputum?*
  • Night Sweats?*
  • Weight loss not caused by dieting?*
  • Fatigues, tires easily?*
  • Unexplained fever or shortness of breath?*
  • My signature below indicates that my TB Risk Assessment is accurate:*
  • Date*
     - -
    2 digit month, 2 digit day, 4 digit year

  • Scan the QR code or click the link below to complete required training:

    (Must be completed by ALL Students & Instructors)
  • Use this password to login for required regulatory training: WHStudent26

  • Regulatory training link    Password is: WHStudent26

    https://rise.articulate.com/share/4Kn3_Dw-Qjvg_1tfZczOWKGOPFK9RjaP

     

     

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