Verification Form
All students admitted to the Program of Veterinary Technology must be immunized against Rabies and Tetanus (or be exempted by a physician), and must carry personal health insurance prior to matriculation at Manor College. The verification form must be completed by the student and signed by the attending physician as verification of immunization and health insurance coverage. Students will not be permitted to take VT110 Anatomy and Physiology and any courses that require hands-on training with animals until this form is completed and returned to the Veterinary Technology Office. Students should make a Xeroxed copy of this form when completed for their own records.
Please complete this form together with the physician, and return it to Dr Joanna Bassert in the Veterinary Technology Office prior to August 30th.
Directions to CEOH at Abington Hospital
DO NOT RETURN THIS VERIFICATION FORM TO THE ADMISSIONS OFFICE. MAKE SURE YOU SEND IT TO THE VETERINARY TECHNOLOGY OFFICE.

