Service Learning Checklist
Health Records
MMR Vaccines
- Proof of two MMR vaccines. administered 4 weeks apart, OR Laboratory (serological) proof of immunity to measles and rubella.
- These items will be records you’ll need to gather on your own. Either from the Student Health Care Center your family doctor or FL Health Dept
Chickenpox Vaccines
- Documentation of immunity to Chickenpox (varicella) by one of the following:
- Documentation of two varicella vaccinations. administered 8 weeks apart, OR
- Laboratory (serological) proof of immunity, OR
- Documentation of a history of varicella disease or herpes zoster (shingles”) by a licensed healthcare provider.
- Gather from the Student Health Care Center, your family doctor or FL Health Dept
Tuberculosis
- Click HERE for the Tuberculosis screening form. Fill out the top portion and return it to me.
Hepatitis B
- Hepatitis B documentation of ONE of the following:
- Documentation of completion of hepatitis B vaccine series.
- Documentation of Hepatitis B surface antibody serology (optional, but recommended).
- Declination of Hepatitis B vaccination completed.
- Gather from the Student Health Care Center, your family doctor or FL Health Dept
Tdap
- Tetanus/ Diphtheria/Pertussis: Documentation of one dose of tetanus/diphtheria/pertussis (Tdap) vaccination within the past 10 years.
- Gather from the Student Health Care Center, your family doctor or FL Health Dept
Flu Shot OR Flu Declination Form
COVID-19 Vaccination OR Vaccine Education Form
- Proof of vaccination of the COVID-19 vaccine series OR Completion of UF Health’s “Vaccine Educate and Offer Campaign” Form: CLICK HERE
Trainings
HIPAA
- HIPAA & Privacy – General Awareness
- follow the link provided to myTRAINING. When completed, send the pdf of the “diploma” to me
- HIPAA Training
Service Orientation
- “UF Health Volunteer Orientation Versional”
- follow the link provided to myTRAINING. When completed, send the pdf of the “diploma” to me
- Volunteer Orientation
HIV/AIDS Training
- “HIV/AIDS Education for Healthcare Workers (NCO-095-07012027)”
- follow the link provided to myTRAINING. When completed, send the pdf of the “diploma” to me
- HIV/AIDS Training
Forms and Documents
Background Check
- Criminal Background Check
- Can be ordered online and mailed to you or picked up at the station. Scan or photograph and send to me.
- Enter YOUR information as the “requestor”
- Enter “N/A” in the Police Report # / Case Number field
- GPD background check request
Health Insurance
- May be waived for students demonstrating hardship
- Scan or photograph your health insurance card and send to me
Security and Confidentiality form
Code of Conduct