Health and Safety Forms

These Forms are for ALL Allied Health Programs

When turning in papers please make sure to include the following as they apply

Print your name
Your semester and
Your campus (main, porterville,or hosp. spons.)

Thank You!

Background Screening

Safety and Certification

Safety Certification Instructions
Safety Orientation (ppt file)
Safety Quiz
Safety certification
Bloodborne Pathogens Packet (tif file)
Bloodborne Patogens Certificate of Instruction
Confidentiality Statement
Student Responsibilities Waiver
Sexual Harassment KCCD Policy
Elder/Dependent Adult Abuse Reporting Responsibilities
Child Abuse Reporting Responsibilites

Physical Forms

Physical Exam/Immunization Guidelines
Physical Exam Form
Immunization Records Form
TB Exam Form
TB Questionnaire (For Chest X-Rays ONLY)

Need a place to get your immunizations?