Health Evaluation for CNA Students

Form Template

All CNA Applicants must submit a health statement from their physician before their clinical.

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All students will meet all health requirements of the long term care facilities where they are engaged in Clinical field practicum. If you have had a physical and a TB Test within the last 12 months, you will need a copy of results from your physician. The Health Evaluation for CNA Students mobile app contains a section to be completed by the student prior to see physician and a section to be completed by your physician.

Features
  • Signature Capture
  • Submission Editing
  • Reference Data
  • Dispatch
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Platforms
  • iPhone
  • iPad
  • Android
  • Windows
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Integrations
  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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*The Capterra SoftwareAdvice ​and GetApp logos are a service mark of Gartner, Inc. and/or its affiliates and is used herein with permission.*

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“I’m not a tech guy and I was able to pick this thing up in probably an hour, and actually start to build apps. I’ve done them over lunch when I’ve gotten frustrated with a process that didn’t exist in our company. So for non tech people who’ve got a problem, the support here is awesome and I’d recommend it to anybody, not just in our industry.”

Dave Kramer, PennLine Service

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