- December 21, 2024
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Mobility Nursing Application Period for Fall 2025
November 9, 2024 - March 24, 2025
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Traditional Nursing Application Period for Fall 2025
November 9, 2024 - March 24, 2025
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Alternate Entry Nursing Application Period for Fall 2025
April 23, 2024 - May 16, 2025
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Dental Hygiene Program Application Period
September 1, 2024 - February 1, 2025
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Physical Therapist Assistant Application Period
September 15, 2024 - May 27, 2025
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Vocational Nursing Application Period for Fall 2025
October 2, 2024 - May 1, 2025
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RN-to-BSN Nursing Application Period for Fall 2025
November 1, 2024 - August 1, 2025
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Health Sciences Clinical Resources
- Affiliation Agreement Request Form
- Out of Service Area Affiliation Data: Word | PDF
- Medical Clearance Form (Return to Clinical)
For Professional Nursing Students Only
Professional Nursing students should follow the instructions on this page to complete the N95 Fit Test and OSHA Respirator Medical Evaluation Questionnaire.
For All Other Health Sciences Programs
For Instructors:
- Enter the student information into the N95 Fit Test Authorization Request Form.
- Send the completed form to [email protected] and cc Christopher Beckermann.
For Students:
- Important: Once the tech has completed the fit test, ask for a copy of your results or take a picture with your smart phone. The results are not sent back to the department. You must obtain a copy and save this document in a safe place. It is an official record.
- Once you have completed the fit test, please confirm your mask brand and size with the staff performing the fit test before you leave the facility (sometimes the information written on the form is difficult to read).
- All students are required to watch this safety video prior to going to any clinical sites. Students who do not complete this requirement will be unable to attend clinical.
- Master Attestation Form
- Attestation Form (Diagnostics and Therapeutics, Pharmacy, and Imaging only)
- Attestation Form and Pre-Placement Requirements (OTA/PTA Rehabilitation Services only)
- Badge and Parking Directions (updated 10/2023)
- Off-Site Parking – Hyde Park Baptist Church (updated 10/2023)
- COMPASS Access Agreement for Faculty
- COMPASS Access Agreement for Students
- COMPASS Training (MyLearning) Form (Faculty only)
- Pre-placement Requirements Modules
- Clinical Rotation Attestation Letter (updated 10/2023)
- Education Affiliation Agreement Checklist
- Allied Health Student Orientation Instructions
- Online Orientation
- Network System User Agreement
- Nursing Student Orientation Acknowledgement of Completion
- HIPAA Training Acknowledgement
- Student Substance Abuse Policy
Starting October 1, 2023, all instructors and students visiting a Christus Health facility where patient care is provided must be vaccinated against the flu.
Every student or instructor already on site must be compliant by November 1, 2023.
Flu Shot Information
Every student or instructor already on site must be compliant by November 1, 2023.
Flu Shot Information
- Online Orientation Process
- Completion of CSR Orientation Certificate for Faculty (must review all orientation information below prior to filling out the certificate. Orientation information can be found on the Christus website here.
- Completion of CSR Orientation Certificate for Students (must review all orientation information below prior to filling out the certificate. Orientation information can be found on the Christus website here.
- Notification of Experience – Single Student
- Notification of Experience – Multiple Students
- EPIC Computer Access Request Form
- Computer Agreement/Confidentiality
- Vaccination Verification Ancillary
- Immunization Exemption Form
- Verification Form
Updated: October 2023
This information applies to both Encompass Health locations at Ben White and Round Rock. (updated 10/2023)
- Student Checklist (updated 10/2023)
- Clinical Affiliation Contract Exhibits A-D (updated 10/2023)
- Environment of Care (EOC) & Emergency Response (updated 10/2023)
- Infection Control & Prevention (updated 10/2023)
For Ben White location only:
Hospital Emergency Codes
- Accudose Security Agreement
- Attestation Form (updated March 31, 2023)
- Faculty Orientation Manual (updated March 31, 2023)
- Faculty Orientation Manual Attestation Form
- Student Orientation Manual (updated March 31, 2023)
- Student Orientation Manual Attestation Form
- Mandatory Orientation Module and Post Test
- Statement of Responsibility
- Meditech Access Request Form and Confidentiality & Security Agreement
- ICARE My Commitment to Our Values Form
- Substance Use in the Workplace Acknowledgment (updated Fall 2022)
- Fit Test Verification and Attestation Form
- Flu Vaccine Verification and Attestation Form (updated 09/2024)
- USP <800>: Safe Handling of Hazardous Drugs Module and Post Test
- Bridging the Gap Modules (Complete Modules 1-4 only)
- St. David’s Ambulatory Student Packet
- COVID-19 Self-Screening Attestation Form (updated 10/2023)
- Accudose Security Agreement
- Student Orientation Manual (updated March 31, 2023)
- Student Orientation Manual Attestation Form
- Mandatory Orientation Module and Post Test
- Statement of Responsibility
- Meditech Access Request Form and Confidentiality & Security Agreement
- ICARE My Commitment to Our Values Form
- Substance Use in the Workplace Acknowledgment (updated Fall 2022)
- OSHA Respirator Medical Evaluation Questionnaire (updated April 6, 2023)
- Fit Test Verification and Attestation Form
- Flu Vaccine Verification and Attestation Form
- USP <800>: Safe Handling of Hazardous Drugs Module and Post Test
- Bridging the Gap Modules (Complete Modules 1-4 only)
- St. David’s Ambulatory Student Packet
- COVID-19 Self-Screening Attestation Form (updated 10/2023)
Faculty
Attestation Form (updated March 31, 2023)
Faculty Orientation Manual (updated March 31, 2023)
Faculty Orientation Manual Attestation Form
Meditech Access Request Form and Confidentiality & Security Agreement
Substance Use in the Workplace Acknowledgment (updated Fall 2022)
COVID-19 Self-Screening Attestation Form (updated 10/2023)
Updated: 7/15/2024
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Health Sciences Updates
Feedback Hub: Walk-In & Share your voice!
The Health Sciences division is hosting a walk-in session to gather your feedback on our forms processes and website.
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Central Health - Medical Access Program (MAP) Basic coverage is no longer accepted at clinical sites effective Fall 2024. Only MAP (non basic) will be accepted.
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