Information for New Students
FNP/PA Program:
Medical Entrance Requirements
For your health and safety and for the safety of your colleagues and patients, the following vaccinations and screening procedures are required upon admission to the UC Davis FNP/PA Program. You must meet the following health requirements, since you will be exposed to clinical situations during the very first week of classes. You will not be allowed to begin your classes and attend any community clinics until you are cleared.
Cowell Student Health Center must receive all documentation by June 1, 2008. Those who fail to meet clearance prior to entry or upon arrival to campus are subject to holds on enrollment, classroom/clinical activity, and/or financial aid as determined by the UC Davis FNP/PA Program.
To help you complete the requirements, we have created a Medical Entrance Requirements Checklist (pdf) which is available for download. Additional information is provided below:
[Mandatory Medical Forms]
[Mandatory Immunizations & Records]
[Recommended Immunizations]
[Contact Information]
Please visit their site to download a free copy.
Mandatory Medical Forms (required)
All forms must be completed and submitted to receive medical clearance:
- A completed Authorization for Release of Health Information (pdf). Download and mail-in a completed form.
- A completed Medical History Questionnaire filled out through Health-e-Messaging (see instructions).
- A completed Health History for Respirator Clearance filled out through Health-e-Messaging (see instructions).
Mandatory Immunizations & Records (required)
To assist you with the collection of your immunizations and records, your personal physician/provider can fill-out and sign the Entrance Requirement Form (pdf) as proof of completion. The required information listed below can either be submitted on this form or attached as lab results and immunization records.
All mandatory items must be submitted to receive medical clearance:
• Medical records documentation of a positive immune antibody TITER test for:
- Measles (Rubeola)
- Mumps
- German Measles (Rubella)
- Chickenpox (Varicella): by IgG immune status verification
- Hepatitis B: by quantitative HBS Antibody immune status verification
**Vaccination records do not substitute for titers.**
Students with negative or inadequate antibody titer levels are required
to provide additional documentation of primary vaccination series
as well as booster received after negative/inadequate titer date.
• Medical records documentation of tuberculosis screening by PPD testing:
Submit a copy of the test, with the date and location/provider stamped or signed by an authorized health care agent indicating:
- a negative result performed after Feb 2008 OR
- a positive result performed any time in the USA with a chest x-ray performed after July 2007 demonstrating absence of active disease
Persons who have completed INH prophylaxis are encouraged to provide documentation of completed treatment for their medical files.
Recommended Immunizations (optional)
CSHC strongly recommends that you consider submitting medical records documentation of vaccinations for the following:
- Tdap (tetanus, diphtheria and pertussis) booster if two or more years have passed since their last tetanus booster *due to an increase in cases of pertussis in Yolo County
- Polio (IPV or OPV) vaccinations
- Hepatitis A vaccinations
- any documentation of immunizations related to travel prevention or occupational disease prevention
Some of these vaccinations may be required documentation in your future years of education at UC Davis.
Contact Information
Please submit all documentation to:
Cowell Student Health Center
FNP/PA: Medical Entrance Requirements
University of California
One Shields Avenue
Davis, CA 95616-8711
You can check the status of your clearance after June 15.
Contact Ana Lopez at Cowell Student Health Center using Health-e-Messaging. Ana Lopez can also answer questions regarding the Medical Entrance Requirements.
Concerns Regarding Requirements:
Persons whose unique medical history or religious practices prohibit immunization or persons with any questions or concerns regarding these requirements should contact Thomas Ferguson, M.D., Ph.D., Medical Director using Health-e-Messaging. Students can also send or fax their concerns to the contact information listed below:
Cowell Student Health Center
University of California
One Shields Avenue
Davis, CA 95616-8711
Fax: 530-752-2306
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