College of Health and Human Services

COVID-19 Booster

Upload one of your COVID-19 Booster dose document from below OR Filled exemption with University of Toledo with date. Documentation must include the name of the manufacturer and date of vaccination. One dose of J &J vaccine and a booster OR Two doses of previously available Pfizer or Moderna vaccines and a booster OR One dose of the bivalent/2022-2023 vaccine (regardless of previous vaccination status) OR Two doses of Novavax Vaccine, (if previously unvaccinated) OR One dose of Novavax Vaccine along with primary vaccination of J&J/ Pfizer/Moderna OR One dose of Pfizer (COMIRNATY) or Moderna (SPIKEVAX) received after 9/11/23 (regardless of previous vaccination status).

COVID-19 Vaccination

Upload one of your Covid vaccination document from below OR Filled exemption with University of Toledo with date. Documentation must include the name of the manufacturer and date of vaccination. One dose of J &J vaccine OR Two doses of previously available Pfizer or Moderna vaccines  OR One dose of the bivalent/2022-2023 vaccine (regardless of previous vaccination status) OR Two doses of Novavax Vaccine, (if previously unvaccinated) OR One dose of Novavax Vaccine along with primary vaccination of J&J/ Pfizer/Moderna OR One dose of Pfizer (COMIRNATY) or Moderna (SPIKEVAX) received after 9/11/23 (regardless of previous vaccination status).

Flu (Influenza)

Documented flu vaccination for current flu seasonPrescriptions/Receipts accepted. Expiration date will be auto-filled as per the school guidelines.

Hepatitis B (HepB)

Positive Surface Antibody titer AND Negative antigen test lab report required. If surface antibody titer is negative/low/equivocal AND Antigen titer is positive, must repeat the series of 3 vaccinations Or 2 dose Heplisav-B series. If  surface antibody titer is negative/low/equivocal, must repeat the series of 3 vaccinations Or 2 dose Heplisav-B series. Repeat titer is required. If your repeat titer is negative, please submit a non-convertor letter from your HCP.  

Measles, Mumps, Rubella (MMR)

Positive Antibody titer for all 3 components required (lab report required). If the titer is negative/low/equivocal must repeat the 2-dose series OR BOOSTER dose as recommended by HCP. Repeat titer is required. If your repeat titer is negative, please submit a non-convertor letter from your HCP.

Physical Examination Form

Must be completed by the health care provider, signed and dated. School form provided to student for completion. Physician generated form is accepted.

Tetanus, Diphtheria, and Pertussis (Tdap)

Tdap Booster within 10 years. Td is not accepted. Titer is not accepted.

Tuberculosis (TB)

First year students are required to do 2 step PPD skin test (interval between the 2 steps should be at least 1-3 weeks) OR Quantiferon Gold OR T-spot test is accepted (Lab report required). If 2-Step PPD or Quantiferon Gold blood test is positive, provide a negative Chest X-Ray (valid for 1 year). Enter completion date as 'date read' OR 'result date'. Annual requirement. Annually:  1-step PPD is required OR Quantiferon Gold OR T-spot test is also accepted (Lab report required).

Varicella

Positive Antibody titer lab report OR If titer is negative/low/equivocal must repeat series of 2 vaccinations OR BOOSTER dose as recommended by HCP. Repeat titer is required.  If your repeat titer is negative, please submit a non-convertor letter from your HCP. History of disease is  NOT acceptable.

CPR

Upload front and back of the card or copy of the certificate. Must be Basic Life Support (BLS) for Health Care Provider issued by American Heart Association. CPR/AED is NOT ACCEPTED. E-cards are accepted. Online CPR courses accepted along with in-person skill test component.

Background check

Both an Ohio BCI&I check and a FBI criminal background check. Any vendor is accepted.

Drug Screening

12-panel drug test OR 10-Panel drug test from any vendor or any lab.

Health Insurance

Must have insurance coverage. Front and back of card to be uploaded.

AARC

Required by the first Monday in September. Upload your AARC membership card to this requirement.

Driver's License

Required to submit a copy of Driver's License to the Program Director  

Fit for Duty Form

Please Review, fill, date, sign and upload form provided by program. 

Social Security number 

Waiver and Acknowledgement Form

Please Review, fill, date, sign and upload form provided by program. 

Current Medication List

Student Attestation

All eligibility information on this page should be reviewed prior to completing the attestation form for your selected program.

Student Attestation Form

COVID-19 Booster

Upload one of your Covid vaccination document from below: One dose of J &J COVID-19 vaccine and a booster OR Two doses of previously available Pfizer or Moderna vaccines and a booster OR One dose of the bivalent/2022-2023 vaccine (regardless of previous vaccination status) OR Two doses of Novavax Vaccine, (if previously unvaccinated) OR · One dose of Novavax Vaccine along with primary vaccination of J&J/ Pfizer/Moderna OROne dose of Pfizer (COMIRNATY) or Moderna (SPIKEVAX) received after 9/11/23 (regardless of previous vaccination status) Exemptions are accepted if your site accepts it.

COVID-19 Vaccination

Upload one of your Covid vaccination document from below: One dose of J &J COVID-19 vaccine  OR Two doses of previously available Pfizer or Moderna vaccines OR One dose of the bivalent/2022-2023 vaccine (regardless of previous vaccination status) OR Two doses of Novavax Vaccine, (if previously unvaccinated) OR · One dose of Novavax Vaccine along with primary vaccination of J&J/ Pfizer/Moderna OROne dose of Pfizer (COMIRNATY) or Moderna (SPIKEVAX) received after 9/11/23 (regardless of previous vaccination status) Exemptions are accepted if your site accept it.

Flu (Influenza)

Documented flu vaccination for current flu season. Prescriptions/Receipts accepted. Exemptions are accepted if your site accept it.

Hepatitis B (HepB)

3 dose series OR 2 Heplisav-B vaccinations required OR Positive Surface Antibody titer lab report OR ANY other document indicating titer result is required. Antigen test will not be accepted. If titer is negative/low/equivocal, must repeat a booster dose. Repeat TITER is not required.

Measles, Mumps, Rubella (MMR)

2 dose series required OR Positive Antibody titer for all 3 components required OR ANY other document indicating titer result. If the titer is negative/low/equivocal must repeat a BOOSTER dose as recommended by HCP. Repeat titer is not required.

Tetanus, Diphtheria, and Pertussis (Tdap)

Tdap within 10 years OR A previous Tdap dose and a current Td booster within 10 years. Titer result accepted for all 3 component -Tetanus, Diphtheria, and Pertussis (Tdap).

Tuberculosis (TB)

2 step PPD skin test is accepted (interval between the 2 steps should be atleast 1-3 weeks) OR Quantiferon Gold OR T-spot test is accepted ( Lab report required). If 2-Step PPD or Quantiferon Gold blood test is positive please upload your positive result, and also provide a negative Chest X-Ray (valid for 3 years).Annually: 1-step PPD is required. Quantiferon Gold OR T-spot test is also accepted ( Lab report required).

Varicella

2 dose series required OR Positive Antibody titer lab report required  (lab reports required or ANY document indicating titer results is required) OR History of disease is accepted. If titer is negative/low/equivocal must repeat a BOOSTER dose as recommended by HCP Repeat titer is not required.

CPR

Must be Basic Life Support (BLS) Issued by any vendor. Basic Life Support from American Heart Association (Preferred) CPR-AED accepted Online CPR courses accepted along with in-person skill test component.

HIPAA

HIPAA certification to this requirement. Issued by any vendor.

OSHA

OSHA certification to this requirement. Issued by any vendor 

Student Attestation

All eligibility information on this page should be reviewed prior to completing the attestation form for your selected program.

Student Attestation Form

COVID-19 Vaccination

If a school form is uploaded students name, DOB, Rocket number, HCP signature and date is must on it. Document must include students name, vaccine administration date. Documentation must include the name of the manufacturer and date of vaccination One dose of J &J COVID-19 vaccine OR Two doses of previously available Pfizer or Moderna vaccines OR One dose of the bivalent/2022-2023 vaccine (regardless of previous vaccination status) OR Two doses of Novavax Vaccine, (if previously unvaccinated) OR One dose of Novavax Vaccine along with primary vaccination of J&J/ Pfizer/Moderna OROne dose of Pfizer (COMIRNATY) or Moderna (SPIKEVAX) received after 9/11/23 (regardless of previous vaccination status). School ‘’Individual immunization compliance report'' form is acceptable. Medical and religious exemptions are accepted.  

Flu (Influenza)

Document must include students name. Documented flu vaccination for current flu season OR Completed and signed flu vaccine waiver of declination. Prescriptions/Receipts are accepted. Declination is accepted. School form for declination NOT AVAILABLE.

Hepatitis B (HepB)

If a school form is uploaded students name, DOB, Rocket number, HCP signature and date is must on it. Document must include students name, vaccine administration and titer result date. Qualitative or Quantitative Positive Surface Antibody titer with lab results or any document indicating titer results showing immunity (This is mandatory). If you are uploading a quantitative report reference range must be mentioned on it. 3 dose series OR 2 Heplisav-B vaccinations required (optional if this is available with you) Please note the vaccination Dose #2  should be 1 month apart from Dose #1 and Dose #3 should be 5 month apart from 5 month apart from Dose#2. For Heplisav B -2 dose series -  Dose#2 should be 28 days apart from Dose#1. Antigen test will not be accepted. If titer is negative/low/equivocal, must repeat 3 dose or 2 dose Heplisav-B series OR BOOSTER dose as recommended by HCP. Repeat TITER is required after 30 days from the last dose of vaccination or Booster dose. If your repeat titer is negative please submit a non-converter letter from  your HCP. Declination is accepted. 

Measles, Mumps, Rubella (MMR)

If a school form is uploaded students name, DOB, Rocket number, HCP signature and date is must on it. Document must include students name, vaccine administration and titer result date. Qualitative or Quantitative  Positive Antibody titer for all 3 components with lab results or any document indicating titer results showing immunity and (This is mandatory). If you are uploading a quantitative report reference range must be mentioned on it. 2 dose vaccination series required (optional if this is available with you). If titer is negative/low/equivocal must repeat the 2 dose series OR BOOSTER dose as recommended by HCP. Please note the vaccination Dose #2  should be 28 days apart from Dose #1. Repeat titer required after 30 days from the last dose of vaccination or Booster dose. If your repeat titer is negative please submit a non-converter letter from  your HCP.

Meningococcal vaccination

 1 dose of Meningococcal vaccination is required. Submission of undergraduate student health compliance  is also acceptable.  

Physical Examination Form

Must be completed in its entirety by the health care provider, signed and dated. School form (template) provided to student. Physician generated form is accepted ONLY if contains the following two statements-IS THIS PATIENT ‘FIT FOR DUTY’ FOR PATIENT CARE IS THIS PATIENT FREE OF COMMUNICABLE DISEASE.

Tetanus, Diphtheria, and Pertussis (Tdap)

If a school form is uploaded students name, DOB, Rocket number, HCP signature and date is must on it. Document must include students name, vaccine administration and titer result date. Tdap within 10 years OR a previous Tdap dose and a current Td booster within 10 years.

Tuberculosis (TB)

If a school form is uploaded students name, DOB, Rocket number, HCP signature and date is must on it. Document must include students name, vaccine administration and titer result date .2-step PPD accepted (2nd plant of the skin test must be within 1-3 weeks and It is done in a four-appointment schedule Visit 1: Place the first PPD Visit 2: 48-72 hours later, the PPD is read. Visit 3: 1-3 weeks after Visit 1, the second PPD is placed and Visit 4: 48-72 hours later, the PPD is read  OR Quantiferon Gold OR T-spot test is accepted (Lab report required) if the 2-Step PPD or Quantiferon Gold blood test is positive, a negative chest X-ray must be provided (Valid for 1 year); after that, ONLY an annual questionnaire will be accepted. Annual requirement :1-step is accepted if you initially uploaded a 2-step PPD skin test. OR If you initially uploaded a blood test and, switch to a skin test during the annual renewal, a 2-step PPD skin test is required OR Quantiferon Gold OR T-spot test is also accepted ( Lab report required) OR A TB symptom questionnaire form if you initially uploaded a negative chest x-ray. 

Varicella

If a school form is uploaded students name, DOB, Rocket number, HCP signature and date is must on it. Document must include students name, vaccine administration and titer result date. Qualitative or Quantitative Positive Antibody titer with lab results or any document indicating titer results showing immunity and (This is mandatory). If you are uploading a quantitative report reference range must be mentioned on it. 2 dose vaccination series required (optional if this is available with you). History of disease is also accepted along with a positive Antibody titer. If titer is negative/low/equivocal must repeat the 2 dose series OR BOOSTER dose as recommended by HCP. Please note the vaccination Dose #2  should be 28 days apart from Dose #1. Repeat titer required after 30 days from the last dose of vaccination or Booster dose. If your repeat titer is negative please submit a non-converter letter from your HCP. History of disease is accepted along with a positive titer.

CPR

Upload front and back of the card or copy of the certificate. Must be Basic Life Support (BLS) for Health Care Provider from American Heart Association for Health Professionals Online CPR courses accepted along with in-person skill test component.

HIPAA

Upload your HIPAA certification to this requirement.

OSHA-Safety Training

Upload your OSHA certification to this requirement.

Background check

Background check is mandatory upon matriculation. Please note that your site might require an additional background screening. Will be completed through UNIVERSITY OR ANY OTHER VENDOR .

Drug Screening

 

Health Insurance

Must have insurance coverage. Front and back of card to be uploaded. Student name should be on the card OR If a student is dependent and does not have their own health insurance card, they must show documentation from Health insurance showing their dependency. 

Professional liability insurance

Obtain individual liability insurance coverage. The minimum amount required is $1 million each claim/ $3 million aggregate. 

Attestations or Acknowledgement Forms (school specific)

Submit a screenshot of the Handbook Quiz completed on Blackboard with a score of 5/5.  OR Please upload a screenshot of a signed document indicating the handbook has been reviewed.

Student Attestation

All eligibility information on this page should be reviewed prior to completing the attestation form for your selected program.

Student Attestation Form

COVID-19 Vaccination (recommended)

Documentation must include the name of the manufacturer and date of vaccination One dose of J &J COVID-19 vaccine  OR Two doses of previously available Pfizer or Moderna vaccines  OR One dose of the bivalent/2022-2023 vaccine (regardless of previous vaccination status) OR Two doses of Novavax Vaccine, (if previously unvaccinated) OR One dose of Novavax Vaccine along with primary vaccination of J&J/ Pfizer/Moderna OR One dose of Pfizer (COMIRNATY) or Moderna (SPIKEVAX) received after 9/11/23 (regardless of previous vaccination status). Medical (HCP signed) or religious exemption (signed by faith leader) accepted. Any vaccine exemption MUST be approved by UToledo before it is submitted to Exxat, and the document granting that approval must have your name on it. This can be an email from the University stating that they approved your request (even if it only contains your first name).  Sending a screenshot of your MyUT portal page that shows all of your vaccine status does not show your name, so we cannot accept that as documented proof.

Flu (Influenza)

Documented flu vaccination for current flu season OR Completed and HCP signed flu vaccine waiver or declination. Prescriptions/Receipts accepted. Medical (HCP signed) or religious exemption (signed by faith leader) accepted. Any vaccine exemption MUST be approved by UToledo before it is submitted to Exxat, and the document granting that approval must have your name on it. This can be an email from the University stating that they approved your request (even if it only contains your first name).

Hepatitis B (HepB)

3 documented  OR 2 Heplisav-B vaccinations vaccinations OR Positive titer (lab report OR ANY other document indicating titer result is required )School form signed and dated by HCP or childhood immunization record is acceptable. MUST have AT LEAST ONE DOSE completed prior to matriculation if completing 3 vaccinations. We ask you make an effort to complete your vaccine requirements prior to the start of classes if possible. However, the remaining doses may be completed at the Family Medicine Clinic (Ruppert Health Center, Suite 0013A/B) after matriculation. If titer is negative/low/equivocal, a booster dose or 3 dose series  OR 2 Heplisav-B vaccinations is required. Repeat titer is required six to eight weeks after receipt of booster or completion of series. If your repeat titer is negative, an HCP signed and dated letter is accepted. 

Measles, Mumps, Rubella (MMR)

2 documented vaccinations OR Positive titer for all 3 components Measles (Rubeola), Mumps and Rubella (lab report required  ANY other document indicating titer result is required.). School form signed and dated by HCP or childhood immunization record is acceptable. If titer is negative/low/equivocal, a booster dose or 2 dose series is required. Repeat titer is required six to eight weeks after receipt of booster or completion of series.

Physical Examination Form

COMPLETE exam within the past 12 months by: MD, DO, NP, or PA.  Must be completed by the health care provider, signed and dated. School form provided.  Will accept a physician generated form.

Tetanus, Diphtheria, and Pertussis (Tdap)

Tdap booster within 10 years OR One-time dose of Tdap and a Td booster within 10 years. Titer is accepted for all the 3 component Tetanus, Diphtheria, and PertussisSchool form signed and dated by HCP or childhood immunization record is acceptable. 

Tuberculosis (TB)

2-step PPD testing to be completed (2 steps must be within 1-3 weeks) at a health office within the United States prior to start of classes ORA TB Quantiferon to be completed at The University of Toledo, Family medicine Clinic (Ruppert Health Center, Suite 0013A/B) on the Health Science Campus will be required in lieu of a 2-step PPD test if you have visited any of the countries listed in High Burden Countries for Tuberculosis | Stop TB Partnership T-spot is not accepted School form signed and dated by HCP or lab report is acceptable. If 2-step PPD or Quantiferon Gold is positive, provide a negative Chest X-Ray (valid for 1 year). Annually, 2-step PPD OR Quantiferon Gold (blood test) is accepted.

Varicella

Documentation of 2 varicella vaccinations OR documentation of history of disease OR proof of immunity (positive Varicella titer (lab report required ANY other document indicating titer result is required.). School form signed and dated by HCP or childhood immunization record is acceptable. If titer is negative/low/equivocal, a booster dose or 2 dose series is required. Repeat titer is required six to eight weeks after receipt of booster or completion of series.

CPR (only for select sites)

Upload front and back of the card or copy of the certificate. Must be  American Heart Association Basic Life Support (BLS) for Health Care Provider.

HIPAA

Upload your HIPAA certification to this requirement. Training certificate through University-provided online training course.

Student Attestation

All eligibility information on this page should be reviewed prior to completing the attestation form for your selected program.

Student Attestation Form

Hepatitis B

3 documented  OR 2 Heplisav-B vaccinations vaccinations OR Positive titer (lab report OR ANY other document indicating titer result is required)School form signed and dated by HCP or childhood immunization record is acceptable. MUST have AT LEAST ONE DOSE completed prior to matriculation if completing 3 vaccinations.We ask you make an effort to complete your vaccine requirements prior to the start of classes if possible. However, the remaining doses may be completed at the Family Medicine Clinic (Ruppert Health Center, Suite 0013A/B) after matriculation.If titer is negative/low/equivocal, a booster dose or 3 dose series  OR 2 Heplisav-B vaccinations is required.Repeat titer is required six to eight weeks after receipt of booster or completion of series.If your repeat titer is negative, an HCP signed and dated letter is accepted. 

Measles, Mumps, Rubella (MMR)

2 documented vaccinations OR Positive titer for all 3 components Measles (Rubeola), Mumps and Rubella (lab report required  ANY other document indicating titer result is required.).School form signed and dated by HCP or childhood immunization record is acceptable. If titer is negative/low/equivocal, a booster dose or 2 dose series is required.Repeat titer is required six to eight weeks after receipt of booster or completion of series.

Varicella

Documentation of 2 varicella vaccinations OR proof of immunity (positive Varicella titer (lab report required ANY other document indicating titer result is required.).School form signed and dated by HCP or childhood immunization record is acceptable. .If titer is negative/low/equivocal, a booster dose or 2 dose series is required.Repeat titer is required six to eight weeks after receipt of booster or completion of series.

Tetanus, Diphtheria, and Pertussis (Tdap)

Tdap booster within 10 years OR One-time dose of Tdap and a Td booster within 10 years.Titer is accepted for all the 3 component Tetanus, Diphtheria, and PertussisSchool form signed and dated by HCP or childhood immunization record is acceptable. 

Tuberculosis

2-step PPD testing to be completed (2 steps must be within 1-3 weeks) at a health office within the United States prior to start of classes ORA TB Quantiferon to be completed at The University of Toledo, Family medicine Clinic (Ruppert Health Center, Suite 0013A/B) on the Health Science Campus will be required in lieu of a 2-step PPD test if you have visited any of the countries listed in High Burden Countries for Tuberculosis | Stop TB Partnership T-spot is not acceptedSchool form signed and dated by HCP or lab report is acceptable. If 2-step PPD or Quantiferon Gold is positive, provide a negative Chest X-Ray (valid for 1 year). For PPD skin test and  Quantiferon Gold blood test - Enter expiration date as one year from read date or result date.For chest X-ray - expiration date will be auto-filled as per the school guidelines. Annually, 2-step PPD OR Quantiferon Gold (blood test) is accepted.

Influenza

Documented flu vaccination for current flu season OR Completed and HCP signed flu vaccine waiver or declination.Prescriptions/Receipts accepted.Medical (HCP signed) or religious exemption (signed by faith leader) accepted.Any vaccine exemption MUST be approved by UToledo before it is submitted to Exxat, and the document granting that approval must have your name on it. This can be an email from the University stating that they approved your request (even if it only contains your first name).

Student Attestation

All eligibility information on this page should be reviewed prior to completing the attestation form for your selected program.

Student Attestation Form

COVID-19 Booster 
(optional, but highly recommended)

One dose of J &J COVID-19 vaccine  and Booster ORTwo doses of previously available Pfizer or Moderna vaccines and a booster OROne dose of the bivalent/2022-2023 vaccine (regardless of previous vaccination status) ORTwo doses of Novavax Vaccine, (if previously unvaccinated) OROne dose of Novavax Vaccine along with primary vaccination of J&J/ Pfizer/Moderna OROne dose of Pfizer (COMIRNATY) or Moderna (SPIKEVAX) received after 9/11/23 (regardless of previous vaccination status). 

COVID-19 Vaccination

(optional, but highly recommended)

The University of Toledo no longer requires COVID-19 vaccines for students; however, the University does continue to strongly recommend COVID-19 vaccinations and boosters. Clinical rotation sites may require vaccination.

Flu (Influenza)

Documentation of receiving the annual influenza vaccine OR Completed and signed flu vaccine exemption is due by November 15 annually. You will be notified by email when the annual influenza vaccine becomes available to receive on campus for free. Your Influenza vaccination record must be submitted to The University of Toledo vaccine registry website at UToledo - Vaccine Registration - PersonVaccineList.

Hepatitis B (HepB)

Record of 3 dose series of Hepatitis B vaccine and a positive Hepatitis B Surface Antibody (anti-HBs) titer of 10mlU/ml or higher is required. (Titer is done 1-2 months after final dose of vaccination). Those who test negative for hepatitis B surface antibody (anti HBs) should receive a single “booster” dose of hepatitis B vaccine and be retested 1-2 months later. Those who test positive following the “booster” dose are immune and require no further vaccination or testing. Those who test negative should receive 2 more doses of hepatitis B vaccine on the usual schedule and be tested again 1-2 months after the last (6th) dose.

Measles, Mumps, Rubella (MMR)

Record of two doses of MMR vaccine received after the first birthday at least 28 days apart and proof of immunity to measles, mumps, rubella

by titers (Students who are not immune should receive 2 doses of MMR immunization at least 28 days apart and then re-titer).

Physical Examination Form

Must be completed in its entirety by the health care provider (MD, DO, NP, or PA) signed and dated. School form (template) provided to student.

Tetanus, Diphtheria, and Pertussis (Tdap)

Required within past 10 years. If administered 10 or more years ago, a booster vaccine is required. All new boosters should be Tdap.

Tuberculosis (TB)

2-Step PPD Test to be completed at a health office within the United States prior to start of classes.

*A TB Quantiferon test completed within the United States will be required in lieu of a 2-step PPD test if you have visited any of the countries listed in this link (pg. 30) or received the BCG vaccine: High Burden Countries for Tuberculosis | Stop TB Partnership.

Varicella

Record of two doses of varicella vaccine received after the first birthday at least 28 days apart and proof of immunity to varicella by titer (Students who are not immune should receive two varicella immunizations at least 28 days apart and then re-titer).

CPR

Must be Basic Life Support (BLS) Provider issued by American Heart Association. Will be completed with your cohort. No need to complete before enrollment.

HIPAA

Course offered through the University of Toledo during on-boarding and again annually at no cost to the student.

OSHA

Course offered through the University of Toledo (or preferred vendor) during on-boarding and again annually at no cost to the student.

Background check

Will be completed through UNIVERSITY OR ANY OTHER VENDOR during on-boarding and again annually

AOTA

A copy of your annual AOTA Membership.

OOTA

A copy of your OOTA Membership.

Student Attestation

Completed as part of your grad admissions application.

All eligibility information on this page should be reviewed prior to completing the attestation form for your selected program.

COVID-19 Vaccination and Booster

Optional

Flu (Influenza)

Submit documentation of a flu vaccine administered during the current flu season (August-May).
Flu vaccination document must include:

• Student name
• Date of vaccination
• Type of vaccination.

The renewal date will be set for 11/01 of the following flu season.
Note to student: Lot # is not currently required by the University, however, some nursing clinical settings will require this.
Note: Previous season vaccine is acceptable until 7/31 of this year. Religious exemption on signed UToledo form accepted. 

Hepatitis B (HepB)

Submit a positive Hep B Surface Antibody titer (lab report required).

• If your series is in process, submit where you are in the series, and new alerts will be created for you to complete the series. Name of vaccine administered must be included on documentation.
• If titer is negative or equivocal, new alerts will be created for you to repeat the series and provide a 2nd titer.
• If you are considered a non-responder (meaning your test results will always be negative/equivocal), documentation must be provided showing date of previous vaccines ALONG WITH written statement of non-response AND negative titer by provider.

Measles, Mumps, Rubella (MMR)

Submit a positive IgG antibody titer for all 3 components (lab report required).

• If your series is in process, submit where you are in the series, and new alerts will be created for you to complete the series.
• If titer is negative or equivocal, new alerts will be created for you to repeat the series and provide a 2nd titer.
• If you are considered a non-responder (meaning your test results will always be negative/equivocal), documentation must be provided showing date of previous vaccines ALONG WITH written statement of non-response AND negative titer by provider.

Physical Examination Form

Submit your physical exam completed within the past 12 months and signed by a medical professional.

Tetanus, Diphtheria, and Pertussis (Tdap)

One of the following is required administered within the past 10 years:

• Tetanus and Diphtheria (Td) vaccination administered
  OR
• Tetanus, Diphtheria, & Pertussis (TdaP) vaccination

The renewal date will be set for 10 years from the date administered.

Tuberculosis (TB)

One of the following completed within the past 12 months is required:

• 2 step TB skin test (administered 1-3 weeks apart)
  OR
• QuantiFERON Gold blood test (lab report required)
  OR
• If positive results, submit all of the following completed within the past 12 months:
• a clear chest x-ray (lab report required) AND
• proof of past positive testing AND
• a Symptom Free TB questionnaire

The renewal date will be set for 1 year.
Upon renewal, one of the following is required:

• 1 step TB skin test
  OR
• QuantiFERON Gold blood test (lab report required)
  OR
• If previous positive results, a TB questionnaire will be required.

Varicella

Submit a positive IgG antibody titer (lab report required).

• If titer is negative or equivocal, new alerts will be created for you to repeat the series and provide a 2nd titer.
• If you are considered a non-responder (meaning your test results will always be negative/equivocal), documentation must be provided showing date of previous vaccines ALONG WITH written statement of non-response AND negative titer by provider.

CPR Certification

Submit your American Heart Association BLS Provider CPR certification. American Red Cross certifications will NOT be accepted. A copy of a current card must be submitted before you start as well as every two years on renewal. 

• Temporary approval will be granted for 30 days with the submission of either a certificate of completion or letter stating course completion from the provider. A new requirement will be created for you to upload your certification card within 30 days.
• Renewal date will be set based on the expiration date of the card.

HIPAA Training

Upload your HIPAA certification to this requirement. The following course are required for all UToledo nursing students. You must have an active UTAD. If you do NOT have a UT account yet, do that now at the UTAD Account Management website. You will not be able to complete the training until you are registered for courses.  Login to the Vector training system.
Alternatively, you can try the link in the Student tab within myUT.

Background check

Will be completed through UNIVERSAL OR UNIVERSITY OR ANY OTHER VENDOR.

Student Attestation

All eligibility information on this page should be reviewed prior to completing the attestation form for your selected program.

Student Attestation Form

COVID-19 Vaccination and Booster

Optional

Flu (Influenza)

Submit documentation of a flu vaccine administered during the current flu season (August-May).
Flu vaccination document must include:

• Student name
• Date of vaccination
• Type of vaccination.

The renewal date will be set for 11/01 of the following flu season.
Note to student: Lot # is not currently required by the University, however, some nursing clinical settings will require this.
Note: Previous season vaccine is acceptable until 7/31 of this year. Religious exemption on signed UToledo form accepted. 

Hepatitis B (HepB)

Submit a positive Hep B Surface Antibody titer (lab report required).

• If your series is in process, submit where you are in the series, and new alerts will be created for you to complete the series. Name of vaccine administered must be included on documentation.
• If titer is negative or equivocal, new alerts will be created for you to repeat the series and provide a 2nd titer.
• If you are considered a non-responder (meaning your test results will always be negative/equivocal), documentation must be provided showing date of previous vaccines ALONG WITH written statement of non-response AND negative titer by provider.

Measles, Mumps, Rubella (MMR)

Submit a positive IgG antibody titer for all 3 components (lab report required).

• If your series is in process, submit where you are in the series, and new alerts will be created for you to complete the series.
• If titer is negative or equivocal, new alerts will be created for you to repeat the series and provide a 2nd titer.
• If you are considered a non-responder (meaning your test results will always be negative/equivocal), documentation must be provided showing date of previous vaccines ALONG WITH written statement of non-response AND negative titer by provider.

Physical Examination Form

Submit your physical exam completed within the past 12 months and signed by a medical professional.

Tetanus, Diphtheria, and Pertussis (Tdap)

One of the following is required administered within the past 10 years:

• Tetanus and Diphtheria (Td) vaccination administered
  OR
• Tetanus, Diphtheria, and Pertussis (TdaP) vaccination

The renewal date will be set for 10 years from the date administered.

Tuberculosis (TB)

One of the following completed within the past 12 months is required:

• 2 step TB skin test (administered 1-3 weeks apart)
  OR
• QuantiFERON Gold blood test (lab report required)
  OR
• If positive results, submit all of the following completed within the past 12 months:
• a clear chest x-ray (lab report required) AND
• proof of past positive testing AND
• a Symptom Free TB questionnaire

The renewal date will be set for 1 year.
Upon renewal, one of the following is required:

• 1 step TB skin test
  OR
• QuantiFERON Gold blood test (lab report required)
  OR
• If previous positive results, a TB questionnaire will be required.

Varicella

Submit a positive IgG antibody titer (lab report required).

• If titer is negative or equivocal, new alerts will be created for you to repeat the series and provide a 2nd titer.
• If you are considered a non-responder (meaning your test results will always be negative/equivocal), documentation must be provided showing date of previous vaccines ALONG WITH written statement of non-response AND negative titer by provider.

CPR Certification

Submit your American Heart Association BLS Provider CPR certification. American Red Cross certifications will NOT be accepted. A copy of a current card must be submitted before you start as well as every two years on renewal. 

• Temporary approval will be granted for 30 days with the submission of either a certificate of completion or letter stating course completion from the provider. A new requirement will be created for you to upload your certification card within 30 days.
• Renewal date will be set based on the expiration date of the card.

HIPAA Training

Upload your HIPAA certification to this requirement. The following course are required for all UToledo nursing students. You must have an active UTAD. If you do NOT have a UT account yet, do that now at the UTAD Account Management website. You will not be able to complete the training until you are registered for courses.  Login to the Vector training system.
Alternatively, you can try the link in the Student tab within myUT.

Background check

Will be completed through UNIVERSAL OR UNIVERSITY OR ANY OTHER VENDOR.

Student Attestation

All eligibility information on this page should be reviewed prior to completing the attestation form for your selected program.

Student Attestation Form

COVID-19 Vaccination and Booster

Optional

Flu (Influenza)

Submit documentation of a flu vaccine administered during the current flu season (August-May).
Flu vaccination document must include:

• Student name
• Date of vaccination
• Type of vaccination.

The renewal date will be set for 11/01 of the following flu season.
Note to student: Lot # is not currently required by the University, however, some nursing clinical settings will require this.
Note: Previous season vaccine is acceptable until 7/31 of this year. Religious exemption on signed UToledo form accepted. 

Hepatitis B (HepB)

Submit a positive Hep B Surface Antibody titer (lab report required).

• If your series is in process, submit where you are in the series, and new alerts will be created for you to complete the series. Name of vaccine administered must be included on documentation.
• If titer is negative or equivocal, new alerts will be created for you to repeat the series and provide a 2nd titer.
• If you are considered a non-responder (meaning your test results will always be negative/equivocal), documentation must be provided showing date of previous vaccines ALONG WITH written statement of non-response AND negative titer by provider.

Measles, Mumps, Rubella (MMR)

Submit a positive IgG antibody titer for all 3 components (lab report required).

• If your series is in process, submit where you are in the series, and new alerts will be created for you to complete the series.
• If titer is negative or equivocal, new alerts will be created for you to repeat the series and provide a 2nd titer.
• If you are considered a non-responder (meaning your test results will always be negative/equivocal), documentation must be provided showing date of previous vaccines ALONG WITH written statement of non-response AND negative titer by provider.

Physical Examination Form

Submit your physical exam completed within the past 12 months and signed by a medical professional.

Tetanus, Diphtheria, and Pertussis (Tdap)

One of the following is required administered within the past 10 years:

• Tetanus and Diphtheria (Td) vaccination administered
  OR
• Tetanus, Diphtheria, and Pertussis (TdaP) vaccination

The renewal date will be set for 10 years from the date administered.

Tuberculosis (TB)

One of the following completed within the past 12 months is required:

• 2 step TB skin test (administered 1-3 weeks apart)
  OR
• QuantiFERON Gold blood test (lab report required)
  OR
• If positive results, submit all of the following completed within the past 12 months:
• a clear chest x-ray (lab report required) AND
• proof of past positive testing AND
• a Symptom Free TB questionnaire

The renewal date will be set for 1 year.
Upon renewal, one of the following is required:

• 1 step TB skin test
  OR
• QuantiFERON Gold blood test (lab report required)
  OR
• If previous positive results, a TB questionnaire will be required.

Varicella

Submit a positive IgG antibody titer (lab report required).

• If titer is negative or equivocal, new alerts will be created for you to repeat the series and provide a 2nd titer.
• If you are considered a non-responder (meaning your test results will always be negative/equivocal), documentation must be provided showing date of previous vaccines ALONG WITH written statement of non-response AND negative titer by provider.

CPR Certification

Submit your American Heart Association BLS Provider CPR certification. American Red Cross certifications will NOT be accepted. A copy of a current card must be submitted before you start as well as every two years on renewal. 

• Temporary approval will be granted for 30 days with the submission of either a certificate of completion or letter stating course completion from the provider. A new requirement will be created for you to upload your certification card within 30 days.
• Renewal date will be set based on the expiration date of the card.

HIPAA Training

Upload your HIPAA certification to this requirement. The following course are required for all UToledo nursing students. You must have an active UTAD. If you do NOT have a UT account yet, do that now at the UTAD Account Management website. You will not be able to complete the training until you are registered for courses.  Login to the Vector training system.
Alternatively, you can try the link in the Student tab within myUT.

Background check

Will be completed through UNIVERSAL OR UNIVERSITY OR ANY OTHER VENDOR.

Student Attestation

All eligibility information on this page should be reviewed prior to completing the attestation form for your selected program.

Student Attestation Form

COVID-19 Vaccination and Booster

Optional

Flu (Influenza)

Submit documentation of a flu vaccine administered during the current flu season (August-May).
Flu vaccination document must include:

• Student name
• Date of vaccination
• Type of vaccination.

The renewal date will be set for 11/01 of the following flu season.
Note to student: Lot # is not currently required by the University, however, some nursing clinical settings will require this.
Note: Previous season vaccine is acceptable until 7/31 of this year. Religious exemption on signed UToledo form accepted. 

Hepatitis B (HepB)

Submit a positive Hep B Surface Antibody titer (lab report required).

• If your series is in process, submit where you are in the series, and new alerts will be created for you to complete the series. Name of vaccine administered must be included on documentation.
• If titer is negative or equivocal, new alerts will be created for you to repeat the series and provide a 2nd titer.
• If you are considered a non-responder (meaning your test results will always be negative/equivocal), documentation must be provided showing date of previous vaccines ALONG WITH written statement of non-response AND negative titer by provider.

Measles, Mumps, Rubella (MMR)

Submit a positive IgG antibody titer for all 3 components (lab report required).

• If your series is in process, submit where you are in the series, and new alerts will be created for you to complete the series.
• If titer is negative or equivocal, new alerts will be created for you to repeat the series and provide a 2nd titer.
• If you are considered a non-responder (meaning your test results will always be negative/equivocal), documentation must be provided showing date of previous vaccines ALONG WITH written statement of non-response AND negative titer by provider.

Physical Examination Form

Submit your physical exam completed within the past 12 months and signed by a medical professional.

Tetanus, Diphtheria, and Pertussis (Tdap)

One of the following is required administered within the past 10 years:

• Tetanus and Diphtheria (Td) vaccination administered
  OR
• Tetanus, Diphtheria, and Pertussis (TdaP) vaccination

The renewal date will be set for 10 years from the date administered.

Tuberculosis (TB)

One of the following completed within the past 12 months is required:

• 2 step TB skin test (administered 1-3 weeks apart)
  OR
• QuantiFERON Gold blood test (lab report required)
  OR
• If positive results, submit all of the following completed within the past 12 months:
• a clear chest x-ray (lab report required) AND
• proof of past positive testing AND
• a Symptom Free TB questionnaire

The renewal date will be set for 1 year.
Upon renewal, one of the following is required:

• 1 step TB skin test
  OR
• QuantiFERON Gold blood test (lab report required)
  OR
• If previous positive results, a TB questionnaire will be required.

Varicella

Submit a positive IgG antibody titer (lab report required).

• If titer is negative or equivocal, new alerts will be created for you to repeat the series and provide a 2nd titer.
• If you are considered a non-responder (meaning your test results will always be negative/equivocal), documentation must be provided showing date of previous vaccines ALONG WITH written statement of non-response AND negative titer by provider.

CPR Certification

Submit your American Heart Association BLS Provider CPR certification. American Red Cross certifications will NOT be accepted. A copy of a current card must be submitted before you start as well as every two years on renewal. 

• Temporary approval will be granted for 30 days with the submission of either a certificate of completion or letter stating course completion from the provider. A new requirement will be created for you to upload your certification card within 30 days.
• Renewal date will be set based on the expiration date of the card.

HIPAA Training

Upload your HIPAA certification to this requirement. The following course are required for all UToledo nursing students. You must have an active UTAD. If you do NOT have a UT account yet, do that now at the UTAD Account Management website. You will not be able to complete the training until you are registered for courses.  Login to the Vector training system.
Alternatively, you can try the link in the Student tab within myUT.

Background check

Will be completed through UNIVERSAL OR UNIVERSITY OR ANY OTHER VENDOR.

Student Attestation

All eligibility information on this page should be reviewed prior to completing the attestation form for your selected program.

Student Attestation Form