How to Request your Clearance Card Renewal Electronically: 

Step 1: Submit completed copy of this registration form 

Step 2: Once you have submitted the form, Campus Health Centre staff will verify your information

Step 3:Process your payment ($35.00, MasterCard, VISA): Funds will be held until your information has been verified

Step 4: Electronic Clearance Card will be sent to the email address used in this form 

*** Rest assured the Health Centre is aware of all placement start dates.  Requests will be answered in sequence and as staff are available to review your records.  Failure to provide accurate information below, may result in delays ***