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  • Shrs Initial Health Form - Student Affairs - University Of Pittsburgh - Studentaffairs Pitt

Get Shrs Initial Health Form - Student Affairs - University Of Pittsburgh - Studentaffairs Pitt

Name: Student Identification #: (7 Digit People Soft ID) (Please Print) UNIVERSITY OF PITTSBURGH SCHOOL OF HEALTH AND REHABILITATION SCIENCES INITIAL HEALTH APPRAISAL FORM The University of Pittsburgh.

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How to fill out the SHRS Initial Health Form - Student Affairs - University Of Pittsburgh online

Completing the SHRS Initial Health Form is a crucial step for students of the University of Pittsburgh's School of Health and Rehabilitation Sciences. This guide provides detailed instructions on how to accurately fill out the form online, ensuring you meet all necessary health screening requirements.

Follow the steps to complete the SHRS Initial Health Form efficiently.

  1. Press the ‘Get Form’ button to access the SHRS Initial Health Form. This will allow you to open the form in the editor.
  2. In the first section, input your name and student identification number. Ensure that your name is printed clearly as per the form's instructions.
  3. Complete your personal information in Part I. Fill in your date of birth, gender, and contact details, including your address and phone number.
  4. Identify your emergency contact person by providing their name, relationship to you, and their contact number.
  5. In Part II, indicate your immunization history for tetanus, polio, hepatitis B, and other required vaccinations. Make sure to document dates accurately.
  6. Fill out Part III by providing laboratory and diagnostic test information, including titers for measles and rubella. If tests were conducted previously, include the dates and outcomes.
  7. In Part IV, a healthcare provider must perform an examination and verify your eligibility for participation in clinical education.
  8. Before submitting your form, review all sections for completeness and legibility. It is advisable to make a copy for your records.
  9. Finally, return the completed form to the Student Health Service at the specified address, either in person or by mail.

Take the necessary steps now to complete your SHRS Initial Health Form online and ensure you meet your program requirements.

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CURRENT HOURS OF OPERATION Monday and Thursday: 9 a.m. – 7 p.m. Tuesday, Wednesday and Friday: 9 a.m. – 5 p.m.

SHS is located in Nordenberg Hall, 111 University Place. Student Health Service is committed to providing quality health care services in a comfortable, and friendly environment for all our students, especially those in the LGBTQIA+ community.

Your PeopleSoft ID number (i.e. Student ID number) is a 7-digit number that identifies you in the University of Pittsburgh records system. You can find your PeopleSoft ID number via your Student Center in your my.pitt.edu account or on the bottom right-hand corner of your Pitt Student ID.

Dr. Carla Panzella has served as the Dean of Students since August 2021 and as Associate Vice Provost since December 2022.

Please call the Student Health Services at (412) 383-1800 during normal business hours, Monday-Friday 9 AM-5 PM, to schedule an appointment.

All full-time and part-time undergraduate and graduate students with a valid Pitt ID are permitted to use the facilities and services. Are there fees to use the fitness centers, gyms and other facilities? There is no fee to use the facilities, but a valid Pitt ID is required to enter the buildings.

Graduate students without academic appointments or Fellows are eligible to choose between the general plan (this page) or the Graduate Student Medical Plan....Health and Wellness Coverage: UPMC Health Plan. Level2022-23 Monthly PremiumStudent Only$262.82Student + Spouse$525.65Student + Spouse + 1 Child$730.233 more rows

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232