Get Physical Examination And Student Statement Form - Drexel

Completing the PHYSICAL EXAMINATION AND STUDENT STATEMENT FORM is an essential step for students enrolling in specific programs at Drexel. This guide provides a structured approach to assist users in filling out the form accurately and efficiently online.

Follow the steps to complete the form correctly.

1. Press the ‘Get Form’ button to access the PHYSICAL EXAMINATION AND STUDENT STATEMENT FORM and open it in the online editor.
2. Begin by entering your student information in the designated fields. Include your last name, first name, middle initial, and select your program from the options listed, such as RN-BSN or MSN - NP.
3. Next, sections labeled 'TO BE COMPLETED BY HEALTH CARE EXAMINER' must be filled out by the appropriate health care professional. Ensure they circle 'Yes' or 'No' regarding the completion of the physical examination.
4. The health care examiner should print their name, provide their license number and phone number, sign the form, and indicate the date of the examination.
5. In the 'TO BE COMPLETED BY STUDENT' section, confirm the accuracy of the information provided on the form. Attach copies of all required titers as specified.
6. Sign and date the form to affirm that all necessary forms, including Tuberculosis, Tdap, MMR, Varicella, and Hepatitis B forms, have been completed.
7. Once all sections are filled out, review the entire form to ensure accuracy. Save your changes, and prepare to download, print, or share the completed document as necessary.

Get started now to complete your documents online.