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Health Requirements

The table below outlines the program health requirements for enrollment. Please read carefully including additional details below. If items are missing, registration may be delayed. Students with incomplete health information will be unable to attend class and clinical coursework.

Health requirements must be completed within the applicable timeframes and all requirements must be turned into the Student Health Nurse one week prior to the start of classes. Any costs associated with these exams are the student’s responsibility.

Please Note: The actual examination must be completed within the timeframe, not just the form. For example, if a student has a dental exam prior to the earliest completion date a new exam must be completed within the allowable timeframe. The student cannot have the examining dentist complete a new form based on an exam that was conducted outside the allowable timeframe.

If you have questions about the information on this page, please contact:

Patricia Huber Smith, RN, BSN
Student Health Nurse
Office: (814) 534-9485
Fax: (814) 534-9945 or (814) 534-5659
phubersm@conemaugh.org



Copies of the forms can be obtained by clicking on the links in the "Requirement" column.

Item #  

Requirement

Timeframe

1

Eye Examination Form

Within one year prior to
the first day of class

2

Dental Examination Form

Within six months prior to
the first day of class

3

Student Health Questionnaire Form

Within 30 days prior to
the first day of class

4

Physical Examination Form

Within 30 days prior to
the first day of class

5

Titers

Anytime (See additional details #5;
contact your physician for prescription)

6

Urine Drug Screen

Within 30 days prior to
the first day of class

 


Additional Details

Item #1 – Eye Examination Form

All students are required to have an eye examination with correction documented by an ophthalmologist/optometrist within one year prior to the start of the program.


Item #2 – Dental Examination Form

All students are required to have a dental exam with repair measures documented by a dentist within six months prior to the start of the program.


Item #3 – Student Health Questionnaire Form

Students in all programs are required to complete the health questionnaire form. This should be completed within 30 days prior to the first day of class.  Please complete it in its entirety. An immunization record may be included with the form. Remember to sign the form.


Item #4 – Physical Examination Form

All students are required to have a physician complete the physical exam form in its entirety. Physicals must be done within 30 days prior to the first day of class.  Be certain to include the urinalysis results – this is separate from the urine drug screen. Students should also obtain an order from their doctor for the titers (See #5). If you do not have a private physician, you can get physicals done at the Corporate Care office at Conemaugh East Hills in Richland. You must call (814) 266-8466 to schedule an appointment. If you would like to get established with a private physician, the following providers are accepting patients.

  • Internal Medicine Clinic 
    1086 Franklin Street
    Building E, 3rd Floor
    Johnstown, PA 15905
    Phone: (814) 534-9104
  • Family Medical Center
    1086 Franklin Street, E-2
    Johnstown, PA 15905
    Phone: (814) 534-9106

Item #5 – Titers

All students are required to have blood titers drawn in order to determine immunity for rubella, rubeola, varicella, and hepatitis B. Students will need to get an order for these laboratory tests from their doctor.

A laboratory request form that you may take to your physician to complete can be found here. 

A discounted rate will be charged if the labs are drawn at a participating Conemaugh facility. To receive the discounted rate, student must have this form at their appointment when the titers are drawn. Please have the results sent to the Conemaugh School of Nursing & Allied Health or faxed to (814)534-9945, attention Patricia Huber Smith.


Item #6 – Urine Drug Screen

All students are required to have a negative urine drug screen conducted at Conemaugh Memorial Medical Center. The urine drug screen must be done 30 days prior to the first day of class.  There is no fee to the students for this screening. Students must schedule appointments with the Student Health Nurse or Conemaugh’s Corporate Care Office. Contact Patricia Huber Smith, Student Health Nurse, at (814) 534-9485 or Corporate Care at (814) 266-8466 to schedule an appointment. Bring your photo ID and social security number to the appointment.