Clinical Program Requirements

Information for students enrolled in Diagnostic Genetic Sciences, Dietetics, Medical Laboratory Sciences, Nursing, Pharmacy, Physical Therapy, Psychology and Graduate-level Speech & Hearing programs


Students enrolled in clinical experience programs are required by practice sites to provide specific information about their current health and immunization status. In addition to the standard Student Health History Form, these students must also submit the Clinical Rotation Health Review Form. Students may have the required examination and tests conducted by Student Health and Wellness or may elect to have the physical examination and required tests performed by a community healthcare provider.


    • If you need a Physical Exam at Student Health and Wellness, please schedule an appointment by calling 860-486-2719.
    • Immunizations may be obtained at Student Health and Wellness by scheduling an appointment by calling 860-486-2719.
    • Information from a community healthcare provider should be submitted to the SHaW Medical Records department using the above-mentioned health forms.


For the list of requirements specific to your program, deadlines on the submission of your information, copies of your information or any other related questions, please contact the appropriate person from the list below.

Allied Health Sciences

  • Bambi Mroz
    Business Services Supervisor
    358 Mansfield Road, U-1101
    Storrs, CT 06269-1101
    Office – 860-486-0013
    Fax – 860-486-5375

  • Office of Admission & Enrollment Services
    School of Nursing
    231 Glenbrook Road, U-4026
    Storrs, CT 06269-4026

Undergraduate students:

Graduate students:


  • Mary Ann Phaneuf
    Assistant Director, Experiential Education
    School of Pharmacy
    69 North Eagleville Rd U-3092
    Storrs, CT 06268
    Phone: 860-486-5848
    Fax: 860-486-9095
Physical Therapy

  • Rachel Chassé-Terebo
    Physical Therapy Program
    Immunization & Clinical Compliance Coordinator
    3107 Horsebarn Hill Rd, U-1101
    Storrs, Connecticut 06269-1101
    Phone: 860-486-1854
    Fax: 860-486-1588

  • Debbie Vardon
    Administrative Manager, Clinical Training Program
    406 Babbidge Rd, U-1020
    Storrs, Connecticut 06269-1020
    Phone: 860-486-2057
    Fax: 860-486-2760
School of Social Work

  • Cheryl Jackson-Morris, MSW
    Associate Director for Field Education
    38 Prospect Street
    Hartford, CT 06103
    Phone: 860-570-9161, ext. 3
    Fax: 860-570-9311
Speech, Language & Hearing Sciences

  • Sirrah Galligan
    Academic Program Coordinator
    850 Bolton Rd, U-1085
    Storrs, Connecticut 06269-1085
    Phone: 860-486-2817
    Fax: 860-486-4948