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Nurse Practitioner Portal Requirements

The following Forms must be submitted via Document Upload in Student Health Portal 

PLEASE NOTE: The Nursing Department is NOW using the student health portal for all documentation and uploads and NO LONGER using AMOS. Use this link to get to the student health portal 

Web Portal Document Uploads

1. FBI Cogent Fingerprinting: Follow the instructions on website . You will need to first put in service code 1KG6ZJ to get started. The second code is the Facility code 1665. Please make an appointment to schedule for finger prints. The cost will be paid by the student not ɫ��ɫ University. Please then upload completed Fingerprint form to student health portal utilizing the document upload feature using the Nursing FBI FINGERPRINTS document type.
2. Pennsylvania Access to Criminal History (PATCH): Instructions and registration for this clearance can be found at: . Once all the required information is complete please upload the form to student health portal utilizing document upload feature using the NURSING (PATCH) Criminal History Form document type.
3. Child Abuse Clearance: Go to    Create an Individual account and follow directions from there. Complete the form, “Child Abuse History Clearance.” Be sure to follow the instructions listed on the top of the form. Once formed is complete please upload form student health portal utilizing the document upload feature using the NURSING CHILD ABUSE CLEARANCE document type.
4. NURSING STUDENTS ARE REQUIRED TO HAVE ADDITIONAL DOCUMENTATION AND OR TITERS (AAMU Standardized Immunization Form) Take this form to your Medical Provider, you may need additional blood testing to satisfy this requirement. Once complete upload the document to the student health portal utilizing the document upload feature using the Nursing Clinical Immunizations document type. 
5. Annual INFLUENZA vaccinations are mandated by the clinical sites all students must be vaccinated by October 15th.  Once you have received the vaccine upload documentation to the student health portal utilizing the document upload feature using the ANNUAL INFLUENZA document type.  If unable to be vaccinated please contact the CLINICAL COORDINATOR for the Nursing Department by SEPTEMBER 1ST.
6. Annual TB Test must be COMPLETED WITHIN 3 MONTHS OF YOUR START DATE FOR CLINICAL EXPERIENCE, documentation by Medical Provider must then be uploaded utilizing the student health portal using the ANNUAL TB testing type.
7. Health insurance card. Upload copy of both sides utilizing the student health portal document upload feature using the Insurance Card Front/Back document type.
8. Physical form: download the PDF from this link, PHYSICAL FORM take form to your MEDICAL PROVIDER for completion.  Upload to student health portal utilizing the document upload feature using the Physical document type.
9. CPR CERTIFICATION CARD – upload a copy of CPR utilizing the document upload feature of the student health portal and the NURSING CPR CERTIFICATION document type.
10. Please get drug screening form from clinical coordinator

Web Portal Forms must be completed by June 15th utilizing the student health portal.  To obtain the forms click on MY FORMS:

1. Medical History form- you complete regarding YOUR personal medical history and some family history
2. Nursing Immunization History form- more detailed immunization record gets completed online PLUS uploaded in document upload feature
3. Current CPR certification form (note that the date must be valid through the entire academic year)
4. TB Screening form – answer questions about TB symptoms
5. Clinical Experience Sign-Off documents – you read and initial/date at each option to acknowledge your understanding as stated on the form.