Get Ppd Documentation Form

Filling out the Ppd Documentation Form is a crucial step for students entering the Teacher Education program at the University of Wisconsin-La Crosse. This guide will walk you through the necessary steps to ensure that your documentation is complete and submitted correctly.

Follow the steps to successfully complete the Ppd Documentation Form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your legal name in the designated field. Ensure that this matches your official records for accurate processing.
3. Enter your UW-L Student ID number. This helps in identifying your records within the university system.
4. Fill in your address, including city, state, and zip code. This information is necessary for any correspondence.
5. Provide your phone number, which will be used for communication regarding your documentation.
6. Indicate the semester and year you will be student teaching. This helps the university plan and facilitate placements.
7. For Hepatitis B immunization, fill in the date for each of the three doses you may have received or plan to receive.
8. For the TB skin test information, include the date given, the location of the test (right or left arm), the date read, and the result in mm of induration.
9. Ensure that the signature of a clinic doctor or professional representative is included in the specified section. This is a required field to validate your documentation.
10. Provide the clinic's name and address as required. This is essential for any follow-up or verification needed by the university.
11. Once all fields are completed, review your entries for accuracy and completeness. Make any necessary edits.
12. Finally, you can save changes, download, print, or share the form as needed. Be sure to keep a copy for your records.

Complete the Ppd Documentation Form online today to ensure your placement in the Teacher Education program.