EH-1 General Exposure Form – To manage issues related to infection control, The University of Texas Health Science Center (UTHealth) requires the completion of this form for visiting students who will be participating in medical and dental activities, as well as observers (no hands-on participation) in a clinical setting. This form must be submitted prior to participating in the program. If this form is not completed and submitted, the student will be ineligible for program participation.
A Criminal Background Check - all students, faculty and staff are required to undergo a criminal background check prior to commencement of activities on campus. The same is true for matriculation to the vast majority of medical and dental schools around the country. SMDEP participation is contingent upon completion of a background check. The University of Texas Health Science Center (UTHealth) Human Resources Department will run the check at no cost to you.
Individuals who do not submit to the background check will be ineligible for program participation.
Please submit the following document via email to Janis E. Smith or fax to Janis E. Smith at 713-486-4436.
Background Check Document
Please submit the following document to Employee Health Clinical Services (EHCS) by fax to 713-500-3263.
General Minimum Exposure Acknowledgement Form