This repository provides centralized access to essential programmatic and university forms, administrative requests, and compliance documentation required throughout your tenure in the PA program. Here you will find official forms related to attendance, clinical rotation releases, exposure reporting, leaves of absence, mistreatment reporting, and immunization records. Additionally, this page outlines the Signatory Schedule for Program Forms to help guide you on the specific timelines for submitting required documentation across each phase of the curriculum. Please note that accessing certain forms requires logging into your official Lipscomb University account.
COVID-19 Immunization Questionnaire (via myRecordTracker)
Voluntary Submission: Proof of COVID-19 Vaccination Form (via DocuSign)
COVID-19 Release/Indemnification Form (via DocuSign)
Pre-participation Physical Form (via myRecordTracker)
Release of Information (via DocuSign)
A signatory schedule for program forms is a structured document that outlines the timeline for students signing specific program-related forms. This schedule is commonly used in organizations, institutions, or projects to ensure clarity and accountability in the signing process.
The signatory schedule serves as a reference guide, helping streamline the administrative process by clearly defining when students need to review and endorse each form. This minimizes confusion, reduces delays, and enhances accountability by ensuring that the appropriate forms are included at each stage of the program.
Acceptance Packet
Technical Standards
Vaccine Release/Indemnification
Kick-off Event
Voluntary Submission: Proof of COVID-19 Vaccination
Video/Photo Release
myRecordTracker Documentation (available for download in mRT)
Pre-Participation Physical Form
COVID-19 Immunization Questionnaire
TB Screening & Evaluation
Hepatitis B Non-Responder (if applicable)
Pre-Matriculation Orientation
Acknowledgment of Handbook and Policies
Degree Plan: Master of Physician Assistant Studies
SCPE Orientation
Release of Information
Release for Participating in SCPEs
NOTE: You must be logged into your University account to access the following forms:
2024-2025 Secondary (Excess) Student Accident Insurance Information and Claims Filing Instructions
Student Accident Insurance Claim Form
Page/Policy/Guideline Information
Last Reviewed: 2026.08
Devised/Revised: 2026.08