Clinical Rotation Forms

        All Clinical Rotation forms must be filled out completely

       (e.g., name, immunization dates) before sending to Student

       Health Office via email at stu-emphealth@westernu.edu for

       verification and signature.

        It will take up to 10 business days to process your forms.

        NOTE: All forms are processed on a first come first served

        basis, NO EXCEPTIONS!

Student-Employee Health provides the following services:

• Coordinates monitoring for bloodborne pathogen exposures
• Provides orders for select serum blood titers, chest x-rays, and immunizations
• Track/monitor health screening for staff in the Patient Care Center and other areas on campus
• Provide education on health related issues

In addition to the above we also provide the following for our Students:

• Ensure Health Clearances requirements are maintained in order to attend the university as well as compliance with clinical rotation site requirements
• Confirms information on clinical rotation health clearance forms is accurate