IU DPT Class of 2018
Pre-enrollment Requirements Checklist
Use this checklist to help you complete the tasks required to matriculate into the IU DPT Program.
Items MUST be received on or before the dates listed in the Due Date column below.
PART I – IMMUNIZATION & FIT TEST REQUIREMENTS
A completed immunization form and all supporting immunization documentation should be submitted
together as one packet to the following TWO people:
1) IUPUI Campus Health
Email:
healthsv@iupui.edu
Fax:
(317) 278-6929
Address:
Coleman Hall 100
1140 W. Michigan St.
Indianapolis, IN 46202
AND to…
2) Ms. Karen Mitcham, DPT Administrative Assistant for Clinical Education
Email:
kmitcham@iu.edu
Each student must retain copies of all immunization documentation for his/her own files to be presented at
individual clinical assignments. We suggest you take photos of all documentation on a portable electronic
device.
Form to be completed
Instructions
Due Date
A
Read the Immunization Requirements for Matriculation information. You are
then required to have a medical professional complete, sign, and provide
documentation for the Student Immunization Checklist. If your current
physician does not have all immunizations on file, you are welcome to take the
IU Immunization Record Form along with your immunization records to a
physician’s office and request that office to transfer the immunizations onto
the IU form. These immunizations are required for all students in health
programs on the IUPUI campus.
June 15, 2015
Immunization
Requirements for
Matriculation Form
&
ALL supporting
documentation
Current immunizations must include Hepatitis B and a TB test. The TB test
must be valid for the entire school year (Aug ’15 – May ’16); therefore you
should have your TB test completed no sooner than May 1, 2015 and no later
than June 15, 2015. Schedule your test date accordingly.
You may obtain the TB test at no cost from IUPUI Campus Health located in
Coleman Hall, Room 100 at 1140 W. Michigan Street, Indianapolis, IN 46202.
Campus Health website: http://health.iupui.edu/.
2/16/15
If you have questions about your immunizations, please contact IUPUI Campus
Health nursing manager, Elaine Delbecq at (317) 274-1019.
Please print the Student Immunization Checklist, ensure ALL required and
applicable documents are attached, and send the document packet DIRECTLY
TO TWO people:
IUPUI Campus Health at: healthsv@iupui.edu or Fax: (317) 278-6929
AND
Ms. Karen Mitcham, DPT Administrative Assistant for Clinical Education at:
kmitcham@iu.edu.
B
N-95 Fit Test
Each student is required to take an N-95 Fit Test. The N-95 is a respiratory
isolation mask that is only effective at preventing transmission of airborne
illness if the proper size is worn. You must be fitted for this mask. The N-95 Fit
Test takes approximately 20 minutes to complete.
The N-95 mask must be valid for the entire school year (Aug ’15 – May ’16);
therefore you should have your N-95 Fit Test completed no sooner than May 1,
2015 and no later than June 15, 2015. Schedule your test date accordingly.
You may obtain the N-95 Fit Test for a small cost from IUPUI Campus Health
located in Coleman Hall, Room 100 at 1140 W. Michigan Street, Indianapolis,
IN 46202. Campus Health website: http://health.iupui.edu/. An appointment
is required, and may be made by calling (317) 274-8214.
Send completed N-95 Fit Test results to TWO people:
IUPUI Campus Health at: healthsv@iupui.edu or Fax: (317) 278-6929
AND
Ms. Karen Mitcham, DPT Administrative Assistant for Clinical Education at:
kmitcham@iu.edu.
2/16/15
June 15, 2015
PART II – OTHER MATRICULATION REQUIREMENTS
Please send completed forms: D, E, F, I, J, K, L together in one packet to:
IU School of Health and Rehabilitation Sciences
Office of Student Enrollment Services – Physical Therapy Admission Committee
Coleman Hall, Room 120
1140 W. Michigan Street
Indianapolis, IN 46202-5119
Form to be completed
Instructions
Due Date
C
The Office of Student Financial Services requires that you file the FAFSA
annually by March 10, 2015.
March 10,
2015
File for Financial Aid
File the 2015 - 2016 FAFSA for Fall 2015 thru summer 2016 financial aid
requests.
Office of Student Financial Services Website:
http://www.iupui.edu/~finaid/services/apply/fafsa/.
D
BLS for Healthcare
Professionals CPR
Certification
Students who do not have a current BLS CPR certification card will be
expected to take a BLS for Healthcare professionals CPR course (approximately
$40). Students will submit a front and back copy of current CPR card.
June 15, 2015
Students seeking a CPR course may contact these suggested resources:
http://www.heart.org/HEARTORG or www.redcross.org. These are only
suggested places to earn your CPR certification. You may obtain it anywhere
that is convenient to you.
E
Medical Terminology
Certification
All entering DPT students need to have proof of passing a Medical Terminology
Course. Proof of a passing grade must be sent to:
Office of Student Enrollment Services
IU Dept. of Physical Therapy Admission Committee
IU School of Health and Rehabilitation Sciences
Coleman Hall, Room 120
1140 W. Michigan Street
Indianapolis, IN 46202-5119
https://www.universalclass.com/i/course/medical-terminology-101.htm
http://www.expertrating.com/certifications/Medical-Terminology-Certification/MedicalTerminology-Certification.asp
https://www.corexcel.com/html/online.medical.terminology.htm
http://www.straighterline.com/online-college-courses/health-science/medicalterminology/medte101mghsl001000001-b.html
2/16/15
June 15, 2015
F
Background Check
A Background Certification Check is required for all students accepted into the
IU DPT program ONLY through www.backgroundchecks.com.
June 15, 2015
Backgroundchecks.com is the only company from which the IU DPT Program
will accept results. Click here to begin:
http://www.backgroundchecks.com/Affiliates/indianauniversity.html
If you have questions about completing the process, please contact:
Ms. Kasey Hayes: kashayes@iu.edu or 317-274-4230 or iupic@iu.edu.
Background Check
results submitted
Send just the CERTIFICATE of your background check to:
Office of Student Enrollment Services
IU Dept. of Physical Therapy Admission Committee
IU School of Health and Rehabilitation Sciences
Coleman Hall, Room 120
1140 W. Michigan Street
Indianapolis, IN 46202-5119
June 15, 2015
NOTE: Some states may restrict access to practice in health professions based
on criminal history. Students should become familiar with rules in each state
before entering a DPT program.
G
Set up a computing
account
Students conduct most of their business with the university through the Web.
By activating their university account, students will be able to register, send
and receive e-mail through the university, and use Oncourse.
If you haven’t activated your university e-mail account, visit Account
Management Service. You may activate your account as soon as you are
admitted to the university. Contact the Support Center with any questions.
June 15, 2015
You will get a
username and
passphrase at
this time.
Students will need to create an Exchange account and forward all other IU
accounts to their Exchange Account.
You will need your 10-digit University ID number to complete this process. If
you do not know your 10-digit University ID number, you will find it on your
acceptance letter. Or you may contact Ali Cotton, IU DPT Program
Administrative Assistant, at cottona@iu.edu or 317.278.1875.
Make a note of your username and passphrase as you will use it regularly in
the future.
NOTE: Once your IU Exchange email address has been set up, The University,
including the DPT Program, will ONLY email you at this address. Please set it up
soon after you register so that you don’t miss any important information.
You may access your Exchange email account on the IUPUI homepage:
http://www.iupui.edu/. Scroll all the way to the bottom of the homepage, and
click Outlook Web Access.
H
Register for Classes
See the Registration Instructions on the GO SHRS website.
IUPUI’s Registration Guide may be found on the registrar’s website.
Open Registration for Fall 2015 begins in early April 2015. The classes you are
taking are reserved solely for students in the DPT program. That is, you are
guaranteed a spot in each course, but you MUST register for them.
2/16/15
Registration
Opens:
Early April
2015
You will need
your username
and
Classes you will need to register for this Fall are:
passphrase to
register.
P510 Clinical Integration I, 1 credit
P511 Clinical Decision Making & Professionalism, 2 credits
P513 Functional Anatomy & Clinical Biomechanics, 5 credits
P515 Intro to PT Examination & Interventions I, 3 credits
D850 Gross Anatomy, 8 credits
19 total credit hours
I
Submit Final
Transcripts
Your final transcripts, if you have not already submitted them, should be
submitted to:
June 15, 2015
Office of Student Enrollment Services
Physical Therapy Admission Committee
IU School of Health and Rehabilitation Sciences
Coleman Hall, Room 120
1140 W. Michigan Street
Indianapolis, IN 46202-5119
J
IU DPT Technical
Standards for
Admission
Certification
Statement
Sign, date and return the signature page of the IU Dept. of Physical Therapy
Technical Standards for Admission and Retention Form. If you believe you do
not meet one or more of the standards, or if you have questions, please
contact us at (317)274-4702.
June 15, 2015
K
Student Health
Insurance
Identification Form
with copy (front and
back) of Medical
Insurance card
Submit a front & back copy of your current medical insurance card and
complete the Student Health Insurance Identification Form. All graduate and
professional students on the IUPUI campus are required to demonstrate proof
of health insurance and maintain coverage during the period of their program
enrollment.
June 15, 2015
You may enroll in any health care plan. If you wish to enroll in the health care
plan offered to students at IU or to learn more about the IU Student Health
Plan, offered by Aetna, go to: www.aetnastudenthealth.com. Or you may
contact a customer service representative by calling 1-812-856-4650 or via
email studenthc@indiana.edu.
L
HIPAA Training
&
Basic HIPAA Privacy
and Security Training
Certificate
M Get your JagTag
(aka: IUPUI Student
Identification Card)
Submit a printed certificate of the IU HIPAA E-Training program. Online
training modules are now available in OneStart under the E Training
Tab (on the left column). Launch: E Training; Select: Catalog; Select:
University-wide; select: HIPAA Privacy and Security. Continue
to: Students: Select: Students; Select: your Location; Select: your
Program; Select: HIPAA Privacy & Security module; Enroll & Launch.
After completing the training module, go to Transcripts to print
certificate.
June 15, 2015
Once you register for classes, you will need to obtain your IUPUI Student ID,
better known as your JagTag proximity card. Your JagTag MUST be a proximity
version of the card as this card will let you swipe into the main PT classroom in
Long Hall.
Must be done
after you set
up your
computing
account and
after you
register for
classes.
Location, hours and benefits are listed here: http://jagtag.iupui.edu/. You must
go in person to get your JagTag as they will take your picture for the card. You
will need your 10-digit University ID number. The IUPUI Student JagTag with a
Prox Chip fee is: $5.
JagTag Office
2/16/15
IUPUI Campus Center
420 University Blvd., Suite 217
Indianapolis, IN 46202
Phone: 317-274-5177, Fax: 317-274-7761
N
Blood-Borne
Pathogens Training
The Dept. of Physical Therapy will set up a training session to be held the first
weeks of classes.
Questions?
Contact us at ptadmit@iupui.edu or (317) 274-4702.
2/16/15
August 10, 12
or 14, 2015