Clinical Requirements

Health Record

The Health Record must be completed and submitted to Butler College Health Services before the first day of class according to the course syllabus. The Health Record must be completed no earlier than 3 months before the first day of class for the semester. Only the Butler Health Record form may be used, and must be signed by a MD, DO, ARNP, or Physician Assistant.

Health Forms 

Nursing Physical Exam Form

Nursing Immunization Record