Get Shepherd University Physical Examination Form

Completing the Shepherd University Physical Examination Form is an essential step for students entering the nursing program. This guide provides clear and concise instructions on how to fill out the form effectively online, ensuring you meet all necessary health requirements.

Follow the steps to complete your physical examination form online.

1. Click ‘Get Form’ button to retrieve the Shepherd University Physical Examination Form and access it for completion.
2. Begin by filling in your personal information in the designated fields. Input your full name, student ID, birthdate, phone number, and email accurately to ensure proper identification.
3. The next section requires your healthcare provider's verification. This includes providing details about your immunizations. Ensure that all vaccines are documented accurately, including the dates of administration for each.
4. In the immunization section, confirm your vaccination status for MMR and varicella. If two MMR vaccinations cannot be verified, include titer results to demonstrate immunity.
5. For the Hepatitis B vaccine section, enter the dates of your injections according to the recommended schedule or provide titer results if vaccinations are incomplete. If you choose not to receive the vaccine, complete the waiver statement.
6. Complete the PPD testing section by entering the dates for placement and reading of the tests. If a positive result is obtained, ensure to document follow-up information as required.
7. The physical examination section must be completed by a physician or nurse practitioner. Obtain the necessary signature and details about your health status, ensuring that any identified limitations are noted.
8. Once all sections are filled, review the form for accuracy. You can then save your changes, download the document for your records, print it for submission, or share it as needed.

Get started on your health documentation by submitting the Shepherd University Physical Examination Form online today!