2024 MDI Required Documents for Online Records Management System

Immunization Records

All Records must clearly display your name, administration date, and facility/healthcare provider administered by.
Requirement Procedure Notes

 

 

 

 

Varicella (Chicken Pox)

You must submit A, B, OR C:

  1. 2 doses of the Varicella Vaccine.
  2. Positive Varicella Titer.
  3. Proof of Disease' documented

If titer is negative or equivocal a new alert will be created for you to repeat the vaccination series. If series is in process submit where you are and a new alert will be created for you to complete the series. 

 * 'Varicella Dose 1' must be dated at least 28 days before 'Varicella Dose 2'

 

 

 

Measles, Mumps & Rubella (MMR)

You must submit A OR B:

  1. 2 doses of the MMR Vaccine.
  2. Positive titers for Measles, Mumps, and Rubella.

If titer is negative or equivocal a new alert will be created for you to repeat the vaccination series. If series is in process submit where you are and a new alert will be created for you to complete the series. 

  

 

Tetanus, Diphtheria, & Pertussis (Tdap)

Submit a Tdap vaccine administered within the past 10 years*.

DPT not accepted. TD is acceptable.

 *If vaccination was longer than 10 years ago, upload verification of a booster within the last 10 years.

 

 

 

 

 

Tuberculosis (TB)

 

Must submit A OR B OR C:

  1. Negative TWO-STEP* skin test (7-21 days apart) administered within the past 12 months OR
  2. Negative QuantiFERON Gold blood test administered within the past 12 months OR
  3. If positive results, BOTH of the following are required, and must both be dated within the past 12 months: • Clear Chest X-Ray AND • Physician Clearance documented on letterhead.

*A one-step test will NOT be accepted.

 

 

 

 

Hepatitis B

One of the following are required:

  • 3 vaccinations (or 2 Heplisav if administered after 18) OR
  • A positive antibody titer (lab report required).

If series is in process, submit where you are in the series and new alerts will be created for you to complete the series. If the titer is negative or equivocal, new alerts will be created for you to receive 1 booster shot and provide a 2nd titer*. 

 *If titer is negative after booster, continue the vaccination series and retest for immunity following completion. If titer remains negative, consult your health care provider and internship directors for further guidance.

 

 

 

Hep B Status Form

If your Hep B series in in process, submit the completed Hep B status form. 

The Hep B Status Form is in the Category Information of the Online Management System

 If you are receiving booster doses, as long as you also complete sections 2, 3, and 4 on the hepatitis B status form you will be compliant while you receive the repeat series.  The timeframe for this is 1 month after the first booster, 5 months after the second, and 1 month after the third for the three shot series, or 1 month after the first booster and 1 month after the second booster for the heplisav series. 

 

Influenza

 Submit documentation of flu shot administered during the 2024-25 flu season (September-March*).  *Do not upload documentation from the 2023-2024 flu season. Upload verification only after receiving the upcoming 2024-2025 flu vaccine.
Other Required Records

 

Background Check
A complete background check will be completed upon order after registering for Complio*. 
*This will be performed automatically by Complio after order is placed. You will not upload anything for this requirement.

 

Drug Test
A 10-panel urine drug test will be ordered on Complio by you before starting your clinical rotations according to facility requirements.*
*DO NOT order your drug test until you receive further instructions to do so. The test must be completed right before your clinical rotations.

Health Insurance
Provide a copy of BOTH sides of your current health insurance card OR proof of coverage. Monthly insurance policies are acceptable. 
 

 

Physical Examination
Upload documentation of your completed physical examination. The exam must be completed on the form available for download from this requirement and be signed by a medical professional. 
Required form can be downloaded from the Complio link to be completed and re- uploaded. 
ServSafe Certification (or equivalent) 
Submit your current ServSafe certification* OR comparable food safety certification. 
*Food Handler or Manager training are acceptable.
Current Auto Insurance - General Liability 
Submit proof of your current auto insurance to this requirement. Must have at least general liability coverage*. 
*Coverage must continue throughout entire internship.
MSU Photo, Video, and Comment Release 
Complete the MSU Photo, Video, and Comment Release form electronically through Online Records Management System.  
You must electronically sign the MSU Photo, Video, and Comment Release form.

 

Current Academy of Nutrition & Dietetics Membership 

Submit your current 2024-25 Academy of Nutrition & Dietetics Membership*. 

THE MEMBERSHIP CARD/PROOF NEEDS TO INCLUDE THE MEMBER FULL NAME AND MEMBERSHIP NUMBER. 

*Do not upload documentation of membership for 2023-2024. Upload verification only after renewing membership for 2024-2025.

When renewing, change your state affiliation to Montana if not already. 

 

 

 

 

 

 

 

CPR Certification

You must submit a current version of one of the below CPR cards: 

  • American Heart Association BLS for Healthcare Provider course
  • American Heart Association HeartSaver CPR/AED
  • American Red Cross BLS for Healthcare Provider course
  • American Red Cross CPR/AED
  • Military Training Network BLS for Healthcare Provider course
  • American Safety and Health Institute (ASHI) CPR/AED courses
  • Other program pre-approved by MDI Director

Can be combined with First Aid, but not mandatory.

First Aid only courses are not acceptable.

Adult and pediatric combined courses are acceptable, but pediatric courses alone, without adult training are not. 

Must be front and back of card OR eCard. 

*If equivalent program is not listed, please contact MDI directors for guidance.

Online courses need pre-approval from MDI directors.