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Immunizations Required

  • MMR, 2 doses or titer
  • Current PPD and status, completed with-in the last year (Interferon-gamma release assay, T-Spot or Quantiferon are also accepted)
  • Flu – yearly.  If refused, declination form signed
  • COVID-19 (2 doses Pfizer/Moderna, 1 dose J&J) and bivalent VOID booster. All personnel working within IHS without a valid exemption are now required to receive the bivalent COVID booster. Please monitor ihs.gov website for changes in requirements

Immunizations Highly Recommended

  • Tdap – within the last 10 years
  • Hepatitis A and B
  • Varicella or HX of Chickenpox

Immunizations Records Submit to and Date:

Immunizations must be received before working with patients.  Please include a coversheet including your name, contact information and department (Optometry Clinic) that you will be working in. Preference is that immunizations are received one month before your arrival but can be brought in on the day of your arrival.  Please mail a copy of immunizations to:

Dr. Emilie Mathiak
Optometry
Crow Northern Cheyenne Indian Health Service
10110 South 7650 East
P.O. Box 9
Crow Agency, Montana 59022
Email: Emily.Mathiak@ihs.gov

Documentation Required

Completion of all the student volunteer forms:

Documentation Submit to and Date

  • All documentation must be received one month prior to start date.  Please send the completed volunteer forms to:

Dr. Emilie Mathiak
Optometry
Crow Northern Cheyenne Indian Health Service
10110 South 7650 East
P.O. Box 9
Crow Agency, Montana 59022
Email: Emily.Mathiak@ihs.gov
Phone:  406-638-3340
FAX: 406-638-3341

Absence Policy

  • Students are permitted to be absent on the day of an NBEO exam without making up the day. Two travel days are allowed (1 day prior and 1 day after the date of Part 3).
  • All other absences (including personal and illness) should be made up and can be done so in coordination with the four-day/week clinic schedule.