Skip to contentSkip to Main Site NavigationSkip to Site Left NavigationSkip to Site Utility NavigationSkip to Site SearchSkip to FooterDownload Adobe Reader
Occupational Therapy Assistant
Print

Forms

OTA STUDENT PROGRAM FORMS- THESE FORMS MUST BE DATED WITHIN A SPECIFIC DATE RANGE TO BE VALID. PLEASE REFER TO YOUR ORIENTATION PACKET FOR THE DATE RANGE.

Background check/drug screen, TB, malpractice insurance and physical examination must be repeated each year of the OTA Program. CPR is valid for 2 years. These requirements must be current during the entire OTA Program. 

  1. Student Forms - OTA STUDENT CHECKLIST CLASS OF 2020 1st year 
    Student Forms - OTA STUDENT CHECKLIST 2nd year 

  2. Background Check/Drug Screen  - Choose SCREENING: SD Consortium Criminal Background Check And Drug Screen ($77.00) .....Due to holiday drug screen can be over 3 days as long as it is done before June 4 deadline so you can turn it in with packet.  TURN IN THE E-MAIL THAT SAYS:  SUBJECT:  PAYMENT CONFIRMATION

    1. The day of your urine drug test, DO NOT drink more than 8 oz. of any liquid . If you drink an excessive amount of liquid prior to conducting your urine drug screen, the results will be diluted and/or altered and therefore incomplete. If your drug screen results come back dilute, you will not be able to be placed in clinical settings therefore, you will be ineligible to enter the OTA Program.  SECOND  YEAR BACKGROUND/DRUG SCREEN MUST BE DATED DURING THE MONTH OF NOVEMBER DURING YEAR TWO OF THE PROGRAM.

  3. Malpractice Insurance - please do this online go to www.hpso.com - 1. Click on Individuals 2. click on students  3. click on Get Professional Liability Insurance Quote 4. click on individual  5. select California 6. Certified Occupational Therapy Assistant 7. select no 8. select student 9. continue  10. type in June 3 of two years from when you started 11.  Complete online application......

  4. CPR Card - Only 2 cards are accepted. American Heart Association Basic Life Support for Healthcare Providers  (2 year card)  www.heart.org/HEARTORG OR American Red Cross Basic Life Support and CPR for Healthcare Providers (2 year card) www.redcross.org/take-a-class   NOTE:  only go through the 2 websites listed.  

  5. Tuberculin FORMS 2018   

  6. Immunization Forms and Instructions or Immunization Waiver Form

  7. Physical Exam Form - If the doctor indicates your hearing is within normal range, you do not need tohave a hearing test.

  8. Flu Vaccine Form or Flu Vaccine Decline Form ** see OTA Handbook regarding waiver

  9. OTA Essential Functions Form

  10. Consent Form

  11. HEALTH INSURANCE RESOURCES  AND ENROLLMENT SPECIALIST ON CAMPUS

  12. OT Practice, AJOT, OT Search Engine Resources - Student Membership or individual subscriptions available.

Influenza update
The Occupational Therapy Program will no longer accept FLU MIST (nasal spray) per new Federal Advisory Committee on Immunization Practices (ACIP) and the Center for Disease Control (CDC).  Students must have the influenza vaccination which is offered through Grossmont College Health Services or a physician's office.


OTA STUDENT CLINICAL SITE FORMS

All OTA Students will be asked to complete the following paperwork for Sharp Healthcare during their third week of the Fall semester.

WORKERS COMPENSATION/ILLNESS OR INJURY INFORMATION AT CLINICALS:  CLICK HERE FOR INSTRUCTIONS AND FORMS

Sharp Healthcare:

Read/complete the first three titles listed - non-nursing/ancillary and all of the titles under non-nursing students at the following link:  TURN IN THE PAPERWORK TO KRISTIN STAFFORD IN THE OTA OFFICE
http://www.sharp.com/instructors-students/students.cfm

HIPAA TRAINING AND STANDARD PRECAUTIONS:

http://healthsciences.ucsd.edu/compliance/privacy/hipaa-training/Pages/training-non-ucsd-members.aspx -  OTA students must read the module, print the HIPAA Privacy Posttest and answer the questions. Fill in date, name and title (student) and submit to the OTA Office with your second year paperwork.

www.cdc.gov/HAI/ppt/ppe/PPEslides6-29- 04.ppt - OTA students must read the powerpoint, print the test below, complete test, fill in date and name, and submit to the OTA Office with your second year paperwork. STANDARD PRECAUTIONS POST-TEST

OTA EXIT AND RE-ENTRY FORMS:  Found in the most recent version of the OTA Student Handbook.

 

Last Updated: 06/07/2018
  • GCCCD
  • Grossmont
  • Cuyamaca
A Member of the Grossmont-Cuyamaca Community College District