Get Lsuhsc-no Incoming House Officer Health Requirements

Filling out the Lsuhsc-no Incoming House Officer Health Requirements form is an essential step for individuals entering the program. This guide will provide clear and detailed instructions to help you complete the form correctly and efficiently.

Follow the steps to complete your health requirements form.

1. Click the ‘Get Form’ button to access the form and open it in an appropriate tool for editing.
2. Begin by entering your name in the designated field, ensuring to print clearly or type your information without errors.
3. Next, fill in your mailing address accurately to ensure proper correspondence.
4. Provide your social security number and date of birth in the specified fields, ensuring accuracy for identification purposes.
5. Indicate your training program name and the start date. Confirm these details are correct, as they are crucial for your records.
6. Complete the required health documentation sections. Start with the PPD skin test section, indicating the test results and any related details clearly.
7. If applicable, provide additional information regarding positive PPD results, including the date of the last chest X-ray and whether INH treatment was taken.
8. Proceed to document your immunizations for Rubella, Measles, Mumps, Varicella, and Hepatitis B as instructed, ensuring to refer to CDC guidelines for accuracy.
9. Indicate if you have received the Td/Tdap vaccine within the last 10 years, marking the appropriate section.
10. Once all sections have been completed, review your entries for any errors or omissions, ensuring everything is legible and accurate.
11. After confirming the form's accuracy, save your changes, and you can choose to download, print, or share the form as necessary.

Complete your Lsuhsc-no Incoming House Officer Health Requirements form online today to ensure a smooth start to your program.