Clinical Preparedness Permit Instructions for Year 4

To prepare for their final year, Year 3 students must ensure that their Clinical Preparedness Permit (CPP) is up-to-date and ‘stamped’ by Synergy Employment Services before the August 30th deadline (i.e.: immediately prior to the start of year 4 classes).  Please note that students who do not have their CPP stamped by the August 30th deadline may be prevented from proceeding to their clinical placement.

Your CPP must show that all immunizations, vaccines and your TB Skin Test are up-to-date, that you have recertified your CPR/HCP certificate, and obtained a new Police Vulnerable Sector Screen (VSS) reference check. Below are the steps you need to take in order to get your CPP completed and stamped by August 30th.

STEP 1: Apply for your Police Vulnerable Sector Screen (VSS) reference check.  If you need a VSS reference check from the Toronto Police Service, the form must be obtained from and signed by NPCO staff. Be aware that all police services charge a fee for processing a VSS reference check and it may take up to 12 weeks for them to process your application.  For police regions that require a letter confirming your student status, please contact the NPCO.

STEP 2: Update your annual TB Skin Test. If positive, you will require a chest x-ray.

STEP 3: Obtain copies of your vaccines and immunization laboratory results. Follow the instructions in the CPP if you require any doctor’s notes.

STEP4: Complete the CPR for Health Care Providers certification. You can register for your certification at

STEP 5: Schedule your CPP Stamping Appointment with Synergy and attend the appointment with ALL required documents in order to get your CPP stamped.

STEP 8: Provide NPCO with documentation in the late fall after having completed your annual flu shot.   Note:  Detailed instructions will be emailed to you in mid-October.