аЯрЁБс>ўџ 46ўџџџ3џџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџьЅСu@ №ПЗbjbjцц 0ŒŒФ ђџџџџџџˆЮЮЮЮЮЮЮт 8B V тЯЖv v ^д д д д д д NPPPPPP$…Rз~tЮfд д fftЮЮд д ‰ъъъf@Юд Юд NъfNъъњЮЮњд j АР=4Х І(њ",Ÿ0ЯњUЮUњттЮЮЮЮUЮњ(д >,ъ>$bд д д ttтт„fЄЮттfIMMUNIZATION AND HEALTH REQUIREMENTS All University of North Carolina at Chapel Hill students are required to provide documentation of the following immunizations: 1) Diphtheria – three dose series. 2) Tetanus – one dose must have been within the last 10 years. 3) Rubella – proof of immunization or a titer greater than 1:8, or documentation of physician-diagnosed disease. 4) Measles –live virus vaccine administered on or after 12 months of age, or documentation of physician-diagnosed disease. Students in the Department of Allied Health Sciences are required to provide the following additional documentation as indicated: 1) DTP – documentation of complete series required for students in the Division of Physical Therapy and Division of Occupational Sciences. 2) Measles – additional dose required of students born after Jan 1, 1957 in the Division of Clinical Laboratory Science, Division of Physical Therapy, Division of Occupational Sciences, and Division of Radiologic Science (unless physician-diagnosed disease is documented). The second dose must be administered at least one month after the first for Clinical Laboratory Science students, and at least 1 year after the first for Radiologic Science students. 4) Mumps – live virus vaccine administered on or after 12 months of age, documentation of physician-diagnosed disease, or laboratory evidence of immunity required of students born after Jan 1, 1957 in the Division of Clinical Laboratory Science and Division of Radiologic Science. 5) Varicella – Two doses of vaccine, positive titer, or official documentation of disease is required by the Division of Clinical Laboratory Science and Division of Radiologic Science, the Division of Physical Therapy, and the Division of Occupational Sciences. 6) Hepatitis B – vaccination or informed refusal is required of all students in the Department of Allied Health Sciences. Students in the Division of Clinical Laboratory Science, Division of Cytotechnology and the Division of Occupational Sciences are required to complete the three-dose series prior to placement in a clinical facility. 7) TB – screening for tuberculosis (i.e., by PPD) and proper evaluation of positive results (i.e., by chest X-ray) is required of all students in the Department of Allied Health Sciences. PPD’s must have been administered and must been current during the time of the affiliation.. 8) Visual exam – students in the Division of Cytotechnology must complete a visual exam, including a test for color blindness. 9) OSHA training – for TB and Bloodborne Pathogens required when student will be in patient care areas. 10) Others – required by Facility (please specify): _________________________________________________________________ Draft  DATE \@ "MM/dd/yyyy" 02/11/2002 Affiliation Agreement between КкСЯЭј-CH and  MERGEFIELD NAME2 ЋNAME2Л Page  PAGE 6 of  NUMPAGES 6 Draft December 2001 Affiliation Agreement between КкСЯЭј-CH and  MERGEFIELD NAME2 ЋNAME2Л %&ЅЉГЭд   † љ {  ‚ У   X Т Х ф f  Д Ц е к Ÿ Ц Ы ы я ј Y№ѓєј€УЬэLNgr…ŸчєQWУФЪЫстьэюяјђщђјђјђјђјђщђјђтђјђтђтђтђтђјђтђтђјђтђтђјђтђйђјђјђтђјђјђеЯХЯХКХЯЖйhNъhNъCJmHnHujhNъCJU hNъCJhЯOёhNъ6CJ] hNъ6CJhNъ5CJ\ hNъCJ hNъ5CJB%&ЅІЩЪ { | ї ј љ { |   б в ы ь єѕHIcdуїђђђђђђђђђђђђђђђђђђђђђђђђђђђgdNъ$a$gdNъФЖ§§уфLMУФюя5WXYmnДЕЖЗњњњњјіјььъјіјхјјј$a$ $„ќџ„&`a$gdNъ+,345:;ABCDHISTUVWYmn—˜ЊЋВГДЕЖЗяуявяуЦЕЦЕЃЕЦЕЦŁŘ”Ž”…яуявя…”}hЯOёh#DhNъ6CJ] hNъCJhNъhNъ0J6CJ]"hNъ0J6CJ]hmHnHu jhNъ0J6CJU]hhNъ0J6CJ]h!hNъ56CJ\]mHnHuhNъ56CJ\]jhNъ56CJU\] . 00PАа/ Ар=!Аа"Аа#8$8%АА`А`œ<@ёџ< NъNormalCJ_HmH sH tH DA@ђџЁD Default Paragraph FontRiѓџГR  Table Normalі4ж l4жaі (kєџС(No List.)@Ђё. 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