You must provide verification of immunization status prior to beginning the clinical experience. The verification must include:
- TB skin test within past 12 months – date and result.
- Rubella Titer.
- Varicella Titer.
- Hepatitis B Titer.
- MMR vaccination dates: 2 doses if born after 1/1/57, 1 dose if born before 1/1/57.
- Td booster within the past 10 years – date.
- Verification of Hepatitis Vaccine or waiver refusing vaccination.
Please return application and supporting information to the following address:
G. E. Ghali, DDS, MD, FACS
Professor & Chairman
Department of Oral & Maxillofacial Surgery
LSU Health Shreveport
1501 Kings Highway, Room 530
Shreveport, LA 71103