# Pre-Placement Health Form

2. Access the Northern College Placement Pass website, https://northerncollege.placementpass.ca/ .

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| Type | PDF |
| Size | 313 KB |

[Open original PDF →](https://www.northerncollege.ca/uploads/2022/02/Paramedic.pdf)

Referenced from: [Paramedic](/programs/paramedic/)

## Document text

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## Pre-Placement Health Form

## Student Instructions

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## Program Details

Program Name:

Paramedic

Code (#):   H099

Year: 1

Documentation Deadline:

## Student Instructions

1. Complete the checklist below.
2. Access the Northern College Placement Pass website, https://northerncollege.placementpass.ca/ .
3. Book an appointment with a Physician or Nurse Practitioner.
4. Bring vaccine records and public health forms or documents with your immunization history to your appointment.
5. Provide Section A -Medical Requirements form to your health care provider to complete and sign/stamp.
6. Ensure your health care provider supplies you with the following documents so you can submit these to Placement Pass with the health forms: Vaccine records (for proof of immunization), Lab blood results, and Chest X-ray report, if required.
7. Complete and follow the instructions for Section B -Clearance Documents .
8. Complete the above checklist to ensure you meet all section (A and B) requirements.
9.  You may forfeit Work Practicum eligibility if you do not submit all required documentation to ParaMed Placement Pass by the specified deadline date.

| SECTION                                                                                              | REQUIREMENT                            | TYPE OF REQUIREMENT   | RECORDS, RESULT, REPORT OR CERTIFICATES INCLUDED   |
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<small>Source: [https://www.northerncollege.ca/uploads/2022/02/Paramedic.pdf](https://www.northerncollege.ca/uploads/2022/02/Paramedic.pdf)</small>