Step 4 - Health Questionnaire and Medical Clearance
You and your students need to complete Periodic Animal Contact Health Questionnaire (pdf). The last page, the Clearance Recommendation, will be completed by a physician.
- Complete the first part – the Periodic Animal Contact Health Questionnaire
- Take the Questionnaire/Clearance Recommendation to your personal physician. You are responsible for any associated costs. Students can make an appointment at the Student Health Center and the visit with a nurse should cost $20.
- If you or your students have not received a tetanus booster within the last 10 years, you will need to receive a booster.
- Once the last page has been completed, return it to Dr. Jeffrey Jasperse in the Natural
24255 Pacific Coast Hwy
Malibu, CA 90263-4321
Phone: (310) 506-4949
Fax: (310) 506-4785