Nursing at Penn Medicine

Student Compliance: Health Screening and Regulatory Requirements

To ensure safe patient care and ongoing regulatory readiness, it is important that all students meet specific requirements based on Penn Medicine policies and procedures. Students must meet all compliance requirements before they are cleared to come on site at each hospital. We request that you send validation that each student in the program meets each of these requirements.

The Health Screening and Regulatory Requirements form must be received by the respective entity representative listed below prior to the start of the clinical rotation.

Please complete the forms below for each group of students you are placing. Fax, or scan and email, forms to the institution representative for which you are requesting.

  • Hospital of the University of Pennsylvania
    Cynthia Richardson, MSN, RN
    Fax: 215-662-6140
    Phone: 267-414-2836
  • Pennsylvania Hospital
    David O'Brien, MSN, RN
    Fax: 215-829-8757
    Phone: 215-829-8457
  • Penn Presbyterian Medical Center
    Barbara Anderson, MSN, RN
    Fax: 215-662-9179
    Phone: 215-662-8610
  • Good Shepherd Penn Partners
    William Kupchunas, RN,CRRN
    Fax: 215-893-6301
    Phone: 215-893-6325
  • Penn Care at Home & Hospice
    Christine Bossone, MSN, RN
    Fax: 610-747-3489
    Phone: 610-747-3400