1. A physical examination within 1 year prior to admission to the nursing program and prior to the start of the Junior and Senior academic years (Fall) for courses with clinical/lab experience.
  2. MMR (measles, mumps, rubella): Proof of serologic immunity of each disease. Documentation of Immunity includes: a) 2 doses of MMR on or after 1st birthday and at least a month apart; or b) laboratory evidence of immunity to measles and mumps and rubella or laboratory confirmation of each disease (consider the terms of “indeterminate” or “equivocal” immunity to be susceptible.) History of physician-diagnosed disease or documented proof of immunity is not acceptable as proof of immunity.
  3. Td/Tdap (Tetanus, diphtheria, pertussis): An initial dose of Tdap, then Td booster every 10 years thereafter.
  4. Varicella (chicken pox): 2 doses of varicella vaccine > 4 weeks apart, or laboratory evidence of immunity, or laboratory confirmation of disease, or reliable history of varicella disease (chicken pox or herpes zoster) by a health-care provider, including occupational health nurse.
  5. Hepatitis B: Proof of serologic immunity (hepatitis B surface antibody test) OR if not immune, negative antigen. Course includes 3 doses hepatitis B vaccine on a 0. 1, and 6 month schedule. Test for hepatitis B surface antibody (anti-HBs) 1-2 months after the 3rd dose to document immunity. After completion of the 3rd injection of the series, a positive hepatitis titer is required. This process can take 6 -8 months to complete. This series must be completed before the start of the student’s first clinical course.
  6. An initial negative 2-step tuberculin skin test with an annual TB skin test thereafter. For students who cannot undergo skin testing (history of positive reaction of previous BCG immunization) evidence of a negative chest x-ray within five years and annual assessment of signs and symptoms from a medical provider is required. If desired, a QuantiFERON Gold blood test or T spot test is acceptable. 
  7. Annual seasonal flu vaccine by October 20.
  8. Must obtain/maintain a current American Heart Association BLS for Healthcare providers CPR certificate or a Red Cross Basic Life Support for Healthcare provider/BLS/CPR for Healthcare certification.

Clinical facilities may stipulate additional requirements for which medical documentation must be provided. Clinical sites require proof of student health and immunization status. This information is provided to affiliation offices before clinical clearance is granted. If this information is not disclosed, the student would be dismissed from the nursing program. Students are responsible for expenses incurred for meeting practice requirements. It is the responsibility of the student to keep documentation of these requirements up-to-date, entered into, and stored by CastleBranch. The student incurs enrollment fee for this service.

Students are not eligible for participation in the Nursing Program without documentation of required health and immunization requirements (see below). The Student Health Record is to be completed and submitted to Student Health Services prior to entry to the college. No record = No clearance for classes or clinical.

Massachusetts State Law requires that all Health Science students have a completed health form on file in the Student Health Office prior to the start of classes.


In order for a student to continue in class or clinical when his/her health status has changed, the student must provide documentation from a health care provider to AMC Health Services (508-849-3458) that clearly states the limitations or the ability of the student to fully participate in all activities. Please notify Student Health Services for an individual consultation. In addition, students must adhere to facility policy regarding return to clinical. Health status changes require medical documentation that clearly identifies student limitations/restrictions and ability to participate in all program activities. Health status changes include, but are not limited to: injury, pregnancy/delivery, major illness (physical or mental), communicable disease, and/or splint/brace/cast/sling. Withdrawal from the course, with current grade earned, may result if the course outcomes cannot be completed.

Significant changes in health status may affect the student’s ability to perform clinical functions. If determined that student or patient safety may be compromised, the student will be excluded from the clinical area until cleared by his/her healthcare provider. Clinical agencies will be consulted, as needed, to determine if the student can participate in clinical assignments. The inability to participate in clinical assignments may result in withdrawal from the nursing program.

Please be advised a clinical agency’s policy may require additional clinical compliance requirements of student nurses and are subject to change at any time. The nursing program is not responsible for providing alternate clinical placements for students who are not granted health clearance from a clinical agency. Some clinical agencies may perform or request actual successful student results in compliance with their mandates. Security clearance is required by some clinical agencies. This may involve a necessity to provide the clinical site with such identifying information. All information will be transmitted via secure measures. All agencies’ clinical and health requirements must be successfully met for the student to meet the course requirements. Students not meeting, or unable to meet, the clinical and health requirements will not be successful in the nursing course; therefore, will be withdrawn from the nursing course and/or program. HEALTH INSURANCE
All students are required to carry either their own health insurance or the college health insurance. Any health expenses incurred while the student is enrolled are the student’s responsibility.

Each student will be covered for malpractice insurance with a group policy provided through the College.