Prior to the commencement of the placement, it is the student’s responsibility to ensure that all GBHS Health Requirements have been met. You must obtain immunizations, blood work, TB and mask fit tests. The completed Student Immunization Attestation form will serve as your proof of compliance.

Note: Older versions of Adobe Reader (X and below) will not save completed forms. Completing forms with any other software (such as Preview for MacOS) may cause unexpected errors.

 

Download the fillable form PDF

a) Click on the Student Immunization Attestation form link above.

b) Your web browser will then open the form.

c) Do not complete the form while it is open in your web browser. Instead, save the form as a PDF.

Please Note: It is best to save the PDF file into a folder you can locate easily, such as your Desktop or Downloads folder.
You can now open the file from your desktop or folder to complete it. Save the file with your information before uploading it to your Student Profile.

Tuberculosis (TB) Surveillance

You must have documentation of a least 1 previously negative 2-step TB skin test.  Prior to placement, if one of the tests has not been completed within the past 12 months, you will require an additional single TB test.  If you have documentation of a single negative TB skin test within the past 12 months, then you should receive an additional single TB test.  If you have never been tested, or do not have documentation of a previously negative 2-step, then a 2-step TB test is required.

If you have had a positive TB skin test we do require a copy of a chest x-ray within the last year.  We only require documentation of one Chest X-ray for your placements.

Immunization Records – Vaccination Requirements

You will need proof of being vaccinated or if applicable, proof of blood work titres to confirm your immune status.

Hepatitis B: It is strongly recommended that all students receive a course of Hepatitis B vaccine.  For your protection, it is important to obtain a Hepatitis B antibody titre following immunization to ensure that you have developed immunity.

Mumps and Measles: Immunity is determined by 2 doses of a Measles, Mumps, Rubella vaccine or laboratory evidence of immunity

Rubella: Immunity is determined by 1 dose of a Measles, Mumps, Rubella vaccine or laboratory evidence of immunity

Tetanus/Diphtheria/Pertussis: Recommended every ten (10) years, please have updated if more than 10 years. If you have not received a 1 time adult or adolescent dose of the Tetanus/Diphtheria/Pertussis, you should receive this instead of the Tetanus/Diphtheria booster.

Varicella (Chickenpox): Immunity is determined by 2 doses of a Varicella vaccine or laboratory evidence of immunity

Influenza: It is recommended that all students receive an influenza shot if your placement is between October 1 and March 31.

Mask Test Fitting

Students must be respiratory mask fit tested prior to clinical placement and must bring with them documentation of the N95 Respiratory on which you have obtained a fit for.  The fit testing must be within two years of the day of the clinical placement period.

Exceptions: High School Co-op Students are exempt from N95 fit testing.

FAQs

  1. Where can I go to obtain documentation (proof) of my previous immunization and TB Testing?
    Family doctor, medical school records, student health services, public health unit (where you attended school)

    Health Documentation may include:

    • Vaccination records from yellow immunization cards
    • Notes from physician’s offices
    • Public Health Unit records
    • Laboratory testing (titres)
    • Student health records
  2. Should I complete all of my health requirements prior to the commencement of my placement?
    Yes!  Students are requirement to present the required health information and records 2 weeks prior to their placement start date.
  3. Where can I get my immunization record updated and/or TB skin testing done?
    Family doctor, walk-in clinics, public health unit.
  4. What is a Titre?  Where do I get this test done?
    A titre is a laboratory test that shows if you have developed immunity after your vaccinations and can be completed at your family doctor’s office or walk-in clinic.
  5. What is Fit Testing?
    Anyone with a requirement to wear a 3M 1870+ Respirator Mask, due to their job duties, must complete a fit test prior to wearing/using the 3M 1870+ Respirator as mandated by the Ministry of Health and Long Term Care.