[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-429709-105":59,"doc-detail-429709-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","xavier-university-college-of-nursing-physical-examination-form","Xavier University - College of Nursing - Physical Examination Form","","This document serves as the official Physical Examination Form for students enrolled in the College of Nursing at Xavier University. It establishes a mandatory health verification protocol for participation in clinical and practicum experiences. The form requires students to acknowledge their ongoing responsibility to report changes in health status and confirms their understanding of clinical access policies. Furthermore, it provides a structured section for licensed healthcare professionals to document the results of a comprehensive physical exam and verify any necessary clinical activity restrictions. By requiring formal signatures and contact information from healthcare providers, the document ensures institutional compliance and student safety during nursing education programs. It emphasizes that students must maintain personal records, as the College of Nursing does not store these documents for future use by employers or other clinical sites.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/xavier-university-college-of-nursing-physical-examination-form/429709/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/xavier-university-college-of-nursing-physical-examination-form/429709.png","ImageObject",300,407,{"name":92,"@type":93},"Aria","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Why is this physical examination form required for nursing students?","Question",{"text":112,"@type":113},"The form is a mandatory certification of physical health required for students to participate in clinical and practicum experiences at the College of Nursing.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What should a student do if their health status changes during the program?",{"text":117,"@type":113},"Students must notify the College of Nursing and provide appropriate documentation as outlined in the nursing student handbook under the section for compromised or altered health status.",{"name":119,"@type":110,"acceptedAnswer":120},"Who is responsible for maintaining the completed physical examination form?",{"text":121,"@type":113},"The student is responsible for maintaining their own documentation, as the College of Nursing is not responsible for providing the records to students for future clinical experiences or employers.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},429709,1791388187,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":81,"preview_page_count":4},2336464648322,"https://ap-avatar.wpscdn.com/avatar/2200025388227c56fec?_k=1778556882303663488","College of Nursing  \n3800 Victory Parkway Cincinnati, OH 45207-7351 513 745-3814  \nPHYSICAL EXAMINATION FORM  \nSTUDENT: COMPLETE THIS SECTION  \nI understand that a certification of physical health is required in order to attend clinical/practicum and that if my health status changes such that restrictions are required for clinicals, I must notify the College of Nursing and provide appropriate documentation as outlined in the nursing student handbook under compromised or altered health status. Annually thereafter, I will submit Page 2 to verify my health status for clinicals and will notify the College of Nursing if changes at anyother time.  \nI understand that I am not permitted in the clinical area until this completed formand all other required documentation has been submitted as instructed. I will maintain documentation for my records. I understand that I may need to provide it fora future clinical experience/employer and that the College of Nursing is not responsible for providing it to me in the future.  \nStudent signature   Date   Student printed name   DOB    \nHEALTH PROFESSIONAL: COMPLETE THIS SECTION  \nThe student named above has had a complete physical examination and has:  \n  no restrictions   restrictions – see attached information  \nNote to physician: If restrictions do exist, please attach explanation.  \nDate of this physical examination was:    \nMonth Day Year  \nSignature (physician/nurse practitioner verifying information) Printed name Date signed  \nHEALTH CARE PROVIDER NAME  \n\n| ADDRESS |\n| --- |\n| PHONE |\n\nThe healthcare provider signature and contact information must be provided or this form will be rejected.","cbCaidBLZiC1Wr6O","https://ap.wps.com/l/cbCaidBLZiC1Wr6O","pdf",56062,"English","# Student Section\n## Health Status Acknowledgement\n# Health Professional Section\n## Physical Examination Certification\n## Healthcare Provider Contact Information","[{\"question\":\"Why is this physical examination form required for nursing students?\",\"answer\":\"The form is a mandatory certification of physical health required for students to participate in clinical and practicum experiences at the College of Nursing.\"},{\"question\":\"What should a student do if their health status changes during the program?\",\"answer\":\"Students must notify the College of Nursing and provide appropriate documentation as outlined in the nursing student handbook under the section for compromised or altered health status.\"},{\"question\":\"Who is responsible for maintaining the completed physical examination form?\",\"answer\":\"The student is responsible for maintaining their own documentation, as the College of Nursing is not responsible for providing the records to students for future clinical experiences or employers.\"}]","Xavier University - College of Nursing - Physical Examination Form | PDF",1790650901]