Get Nyu Nursing Forms A-1 & A-2

Filling out the NYU Nursing Forms A-1 and A-2 online is essential for students participating in clinical courses. This guide provides a clear, step-by-step approach to ensure accurate completion of both forms.

Follow the steps to successfully complete the forms

1. Click ‘Get Form’ button to obtain the form and open it in your online editor.
2. Begin with FORM A-1. Fill in your name with your first, middle initial, and last name in the designated field. Then, enter your date of birth in the format mm/dd/yyyy.
3. Provide your NYU N number, phone number, and email address where prompted.
4. Read the authorization statement carefully. It allows NYU to share your health information with authorized agencies related to your clinical course.
5. Sign the form to acknowledge your understanding of the health requirements and responsibilities, and include today's date.
6. The next section should be completed by a certified nurse practitioner or physician. Ensure they fill out the examination details, including the date of the exam and their signature.
7. Proceed to FORM A-2. Repeat the process by entering your name, NYU N number, date of birth, and phone number.
8. The health professional will need to fill out the tuberculosis screening part with the required PPD or QuantiFERON-TB Gold test results.
9. Again, ensure the healthcare provider signs and dates the form, confirming their assessment.
10. After filling out both forms carefully, you can save your changes, download them, print copies for records, and share them as needed.

Complete your NYU Nursing Forms A-1 & A-2 online today for a seamless clinical experience.