Health Verification


Health Verification Form

Download the Student Entrance Health Verification Form (PDF)

Please mail completed form to:
Silver Lake College
Admissions Office
2406 S. Alverno Rd.
Manitowoc, WI 54220-9319

The following is a list of the physical exam requirements for the BSN completion nursing students at Silver Lake College:

  • TB skin test
  • Rubella immune status and Rubeola immune status blood tests included below OR two doses of MMR (measles, mumps, rubella vaccine)
  • Tetanus booster (required within 10 years of starting date)
  • Hepatitis B Vaccine (optional)

Vaccinations, TB skin tests, and Tetanus boosters are available from the public health nurse's office (Manitowoc, 920.683.4155; Sheboygan, 920.459.3030) for a small fee. Please call ahead to schedule an appointment. Use the Student Entrance Health Verification Form to document and verify your vaccination history.