{"id":49,"date":"2015-08-24T21:11:46","date_gmt":"2015-08-24T21:11:46","guid":{"rendered":"http:\/\/stagewp.westernu.edu\/health\/?page_id=49"},"modified":"2026-02-13T23:21:21","modified_gmt":"2026-02-13T23:21:21","slug":"forms","status":"publish","type":"page","link":"https:\/\/stagewp.westernu.edu\/health\/forms\/","title":{"rendered":"All Forms"},"content":{"rendered":"
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\n \n WesternU<\/a>\n <\/span>\n \/<\/span>\n Student\/Employee Health<\/a>\n \/<\/span>\n All Forms<\/span>\n <\/div> <\/div>\n

All Forms<\/h1>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n<\/section>\n\n\n
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Incoming Student Health Clearance Packet 2026<\/a><\/p>\n

Health Clearance by Healthcare Provider (Form B)<\/a> – Can be used for physicals that may be required by a clinical rotation site.<\/p>\n

TB Symptoms Checklist form<\/a>– If you require a chest x-ray for TB clearance OR if you obtained IGRA (e.g. Quantiferon or T-spot) test, you must complete this form on a yearly basis.<\/p>\n

New PPD Skin Test Converters<\/a> – Provides information on what you need to do in order to obtain TB clearance if your previous tuberculosis skin tests were negative but your most recent is now positive.<\/p>\n

Blood Borne Pathogen Labs<\/a> – You must see a Healthcare Provider immediately. Attached are the laboratory tests you need if you had any exposure to blood, or body fluids (i.e. needle stick).<\/p>\n

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