Required Documents

All nursing students need to submit the following core required documents after admission:

Release Forms

Please print, review and sign (in ink) the three forms below in order to submit to your Castle Branch account (formerly "Certified Profile").   

Background Check Statement

Ordering a Castle Branch account includes a background check. Per the Student HandbookOpens in new window , the CSUF School of Nursing follows the Orange County/Long Beach (OC/LB) Consortium for Nursing position statement on background checks unless a partnering agency or entity maintains stricter and/or differing requirements and/or are not OC/LB Consortium members.


Mandatory Reporter

View the following three HIPAA training videos and eight PDF modules. Once you have reviewed the information in the modules and videos, please complete the Mandatory Reporter Form and upload it to your Castle Branch account.

Form


California Driver’s License and Auto Insurance

CA Driver's License

Submit a copy of your current California Driver's License. Renewal data will be set based on the expiration date on your license.
Please note: A California ID card will not be accepted in lieu of an actual driver's license.

CA Auto Insurance

Submit a copy of your current California Auto Insurance. The documentation must show your name and expiration date. If your name does not appear on your insurance card please also include documentation of all insured drivers on the policy.  Submit these pages to your Castle Branch account.


Medical Records

CPR (BLS card)

Your CPR certification must include the Basic Life Support (BLS) for Healthcare Providers Course and be completed through the American Heart Association (AHA). You will need to submit a copy of BOTH sides of your CPR card, front and back.  The back of your card must be signed to validate it.

Please visit the American Heart Association HeartCode BLSOpens in new window  website to find classes near you. Classes must include the in-person skills portion as well as the online portion. 

The CPR/BLS for Healthcare Providers HeartCode BLS course, approved by the AHA, is also offered at the CSUF Nursing Simulation Center and Skills Lab for students and faculty. Please visit the Sim Center CPR BLS tab for more information: (http://nursing.fullerton.edu/simcenter/cprbls.php)

Flu Vaccination

You are required to submit a copy of your flu vaccination annually to Castle Branch . The renewal date is set every October 15th for all students. If you do not prefer the standard flu shot, the intranasal flu-mist is also acceptable.

No declination/waivers will be accepted. We only accept medical contraindications as a reason for not taking the flu vaccine. The medical contraindication (anaphylaxis, Guillian-Barre, or other serious reaction) must be documented by your physician or healthcare provider.

Health Insurance

Submit a copy of your current health insurance card or proof of coverage to your Castle Branch account. If your name is not shown on your card, verification of coverage from your insurance provider is required.

For more information or to apply for health insurance, please refer to the Covered California website (http://www.coveredca.com/Opens in new window ).  Medi-Cal is one option for students. It is a free or low-cost health coverage plan for children and adults with limited income and resources. The enrollment period for Medi-Cal is open all year long.

Physical Exam Form/ Health Clearance

The Health/Physical Exam FormPDF File Opens in new window is required for all Pre-Licensure students to be completed by a healthcare provider. The Health/Physical Exam Form must be completely filled out, signed, dated, and stamped by your doctor or healthcare provider (and must include his or her printed name and medical license number) to be valid and approved in Castle Branch. Ensure to review and show your healthcare provider the Physical Exam Requirements (2 pages)PDF File Opens in new window for detailed information. 

For all other nursing programs (RN-BSN, SNSC, MSN, DNP):  Students may use the health/physical exam form above or acquire a signed health clearance from their primary care provider.  Health clearance documentation can be written on an official letterhead or on doctor's Rx notepad, verifying that you "do not have any health conditions that would create a hazard to self, employees, or patients."

Tdap

Submit documentation of a current Tdap booster (within the past 10 years) to your Castle Branch account. The renewal date will be set for 10 years from the administered date of your booster.


TB CLEARANCE

All students are required to submit a copy of either a recent negative PPD (TB skin test)  OR a healthy chest X-Ray interpretation to Castle Branch.  PPDs are valid for one year and chest X-Rays are valid for 2 years.

The two forms listed below are based upon the individual needs of a student's specific program or health status:

TB 2-Step Form (for Pre-Licensure Students only)

Complete the following TB 2-Step FormPDF File Opens in new window  during your first semester. Ensure that your name is printed at the top of the page before submitting your completed form to Castle Branch.  The 2-Step form is only required once.  A renewal date will be set for one year from the "read by" date of your second PPD skin test on this form.  From then on, a renewal will be set to complete the standard PPD skin test once a year.

For students who have tested positive for TB:  Rather than completing the TB 2-Step process above, you will be required to submit a copy of a recent chest X-Ray letter or lab report stating that you have clear/healthy lungs and do not show signs of active tuberculosis.

TB Questionnaire (only for students with a history of positive PPD)

Do you have a history of a positive PPD?  If yes, submit the following TB QuestionnairePDF File Opens in new window . The renewal date will be set for 1 year from the date on your questionnaire.  If you have only had negative PPD results in the past, please answer "no".  No renewal date will be set.

Ensure that your name is clearly written or typed at the top of the form.  Forms without a name will be rejected.


TITERS

All students are required to submit positive titers for the 5 items below. Your titer records must indicate your level of immunity to Hep B, Measles, Mumps, Rubella and Varicella.  If you submit any negative titers (indicating that you are not immune) you will be required to complete follow-up vaccines/booster shots. Details are listed under each requirement below.

Attention: If you are currently in the middle of a vaccination series (i.e. Hepatitis B) and cannot go in for your titers yet, please upload your current vaccination records.  Custom renewal due dates will be set specifically for you, depending on how far along you are in the series.

Hepatitis B

Submit a copy of your positive, immune, or reactive Hepatitis B titer. 

If your titer is negative, equivocal or non-reactive ensure that documentation of your prior vaccination or history of Hepatitis B disease is included with your titer record.

New alerts will then be created for you to acquire another round of the 3-dose immunization series and upload each document as they become due (second shot is due 1 month later, then third shot is due 5 months later).  A final titer will be required one month after your third vaccine.

Measles

Submit a copy of your positive, immune, or reactive Measles (Rubeola) titer. 

If your titer is negative, equivocal or non-reactive, ensure that documentation of your prior vaccination or history of Measles (Rubeola) disease is included with your titer record.

New alerts will then be created for you to acquire the 2-dose immunization (booster) series and upload each document (one month apart) for approval.

Mumps

Submit a copy of your positive, immune, or reactive Mumps titer. 

If your titer is negative, equivocal or non-reactive ensure that documentation of your prior vaccination or history of Mumps disease is included with your titer record.

New alerts will then be created for you to acquire the 2-dose immunization (booster) series and upload each document (one month apart) for approval.

Rubella

Submit a copy of your positive, immune, or reactive Rubella titer. 

If your titer is negative, equivocal or non-reactive ensure that documentation of your prior vaccination or history of Rubella disease is included with your titer record.

New alerts will then be created for you to acquire the 2-dose immunization (booster) series and upload each document (one month apart) for approval.

Varicella

Submit a copy of your positive, immune, or reactive Varicella titer. 

If your titer is negative, equivocal or non-reactive ensure that documentation of your prior vaccination or history of Varicella (Chicken Pox) disease is included with your titer.

New alerts will then be created for you to acquire the 2-dose immunization (booster) series and upload each document (one month apart) for approval.