Get Student Passport Forms - Parkview Health

Filling out the Student Passport Forms for Parkview Health can seem daunting, but this guide will walk you through each section of the forms to ensure your submission is smooth and successful. Follow the instructions below to complete each component of the forms online with confidence.

Follow the steps to complete the forms online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling out the Student Information Sheet. Input your last name, first name, and middle initial, followed by your date of birth, phone number, email address, and home address. Leave the Parkview ID# blank if unknown.
3. Provide additional details such as your school, program, instructor(s) or staff, preceptor, and the clinical course(s) you are enrolled in. Make sure to indicate the day(s) of the week, start and end dates for your learning experience, and relevant Parkview location and department(s).
4. Move to the Student Test Answer Sheet. Record your answers for the Parkview Student Test directly in the provided spaces from 1 to 20.
5. Review the Confidentiality Form and initial next to the items confirming your understanding and agreement regarding confidentiality requirements.
6. Complete the Two Patient Identifiers Agreement by filling in the date and signing your name, acknowledging your commitment to using two identifiers for patient safety.
7. If applicable, fill out the Request for Pyxis Access, ensuring to read the user agreement and checking the relevant job title and facility.
8. Continue with the PRMC Education Checklist by placing checks in the required fields for each course you have completed and initialing the corresponding completion fields.
9. Fill out the Health History and TB Form with your personal information, vaccination history, and any required TB testing details.
10. Complete the Healthcare Personnel Influenza Vaccination Status Form, answering all questions about flu vaccination and medical contraindications.
11. Once all sections are completed, carefully save your changes. You can then download, print, or share the filled forms as required.

Start completing your Student Passport Forms online today!