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Nursing

 

 

Nursing Department -> Student Forms

Student Forms

For continuing students in our program
All students are strongly encouraged to receive the influenza vaccination while enrolled in the Nursing Program.  If the vaccine is declined, you will be required to wear a mask in certain clinical rotations during your time in the program.  The Grossmont College Health Services Office will have the vaccine available during the upcoming flu season this fall semester. 

  1. Background Check Form
  2. Community Service Form
  3. Dental Record Form
  4. Hospital Documents
  5. Immunization Record and Statement of Health
  6. Influenza Vaccination Consent
  7. Influenza Vaccination Declination
  8. NCLEX Lunch and Learn Prep Schedule
  9. NCLEX Lunch and Learn
  10. Physical Examination Form
  11. Remediation Plan
  12. Tuberculosis Form
  13. HIPPA website for UCSD
  14. Basic Hippa Training (39 pages ~.pdf file)
    Students must print and sign the last page "Acknowledgement Form" and bring to the Nursing office

    Intermediate (Hippa Privacy Doc)
    Intermediate (Hippa 10 question test)

Course and Clinical Evaluation forms:

  1. Clinical Site Evaluation
  2. Course Evaluation
  3. Program Evaluation (For NURS 235 students only)

 

 

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