BC Nursing/Allied Health    

Health and Safety Forms

These Forms are for ALL Allied Health Programs


All forms are in PDF Format
Free Readers available at Adobe Acrobat and Foxit

Mask Fit Testing

Mask Fit Testing Information

 Background Screening

Background Screening Scoring Guidelines

Safety and Certification

Safety is now done through HealthStream
No forms need to be uploaded.

Physical Forms

Physical Exam/Immunization Guidelines
Physical Exam Form
Immunization Records Form
Seasonal Influenza Immunization Form
Tdap Form
TB Exam Form
*TB Questionnaire (For Chest X-Rays ONLY)
Seasonal Influenza Declination
Tdap Education
Tdap Declination
Hepatitus B Declination

Clearance Form to Return to School/Clinic

*If you have a TB Chest X-Ray you will need to fill out a TB Questionnaire each year


Looking for somewhere to get your immunizations?
Please be sure to follow the Physical Exam/Immunization Guidelines above carefully!

Your primary physician

Bakersfield College Student Health Center
Physical, TDap, and TB Exams
Click here for more information

Irene Sanchez, M.D. Occupational Medicine
 Physical, Mask Fit, MMR, TB, Influenza, Heb B
Click here for more information

Bakersfield Health Department
Contact them for information
(661) 868-0306 • 1-800-974-2717
Hours are Monday - Friday from 8:00am - 5:00pm
1800 Mt. Vernon Avenue
Bakersfield, CA  93306


Bakersfield College Home Page | BC Counseling Site | Class Schedule | Feedback

Allied Health Department | 1801 Panorama Drive | Bakersfield, CA 93305 | 661.395.4281

Last updated: 04/02/2014