Acknowledgement Form

Acknowledgement Form

Student Health Forms

Student Health Forms inclusive of:

  • Health & Records Requirement list
  • CON Annual Student Health Form
  • Hepatitis B Waiver
  • Safety Guidelines for Clinical Practice
  • Safety Guidelines for Clinical Practice Acknowledgement Form

are now coordinated with the electronic records system that is completed at orientation and/or before your clinical/practicums and you will always have access to them in your account of the electronic medical records if you should need them in the futureÌýÌýafterÌýÌýyour first year of completing them.

However, during the transition anyone who does not have an electronic health records started because they are a current student following the old process can find the forms on theÌýÌýBackground Check & Health RecordsÌýÌýsection located on the left sidebar of the Current Student page (this page).

Resources and forms specific to the PhD in Nursing program can be found on theÌýÌýResources for PhD Students webpage.Ìý

DNP Clinical Hour/Capstone/Residency Log Summary Sheet

DNP Clinical Hour/Capstone/Residency Log Summary Sheet

HIPAA Training

HIPAA Training Video

HIPAA Requirement FormÌý

General Forms

Directed Independent Study Forms

Newly Admitted Graduate Student Background Check Instructions

Immediately upon Acceptance:

Click on the link below and Read and follow instructions very carefully!!!

Doctoral Students Packet

Congratulations!

Certified Background

In order to improve the efficiency and time-constraints of the background check process, the College of Nursing, uses a company called Certified Background.

Certified Background coordinatesÌýÌýALLÌýÌýaspects of background check items including Live-Scan fingerprinting, and maintaining health records, as well as drug testing, if needed.

Background Checks and related items will be completed at the time of Admission to the College of Nursing.

Package Codes are in parenthesis. (FL##) Do not include the parenthesis.

  • All Masters Program Concentration (FL82)
  • Masters Out of State Students (FLOS)
  • Doctoral Programs (FL08)

SIP Training

Self-Insurance Plan (SIP) requirements:ÌýÌýÌÇÐÄVlog is participating member in the Florida Board of Governors Self-Insurance Program (SIP) which covers all ÌÇÐÄVlog nursing students during practicum experiences. Please be aware that the university SIP only covers you in the role of the student.

You are required to complete the SIP 101 online training program located at:ÌýÌýÌý

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Christine E. Lynn College of Nursing

Christine E. Lynn College of Nursing’s academic programs are nationally ranked and grounded in a holistic, caring-based philosophy.

Contact Us

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ÌÇÐÄVlog
777 Glades Road
Boca Raton, FL 33431