Maryville clinical compliance: every Exxat item, the order, and who pays

What compliance means at Maryville

Compliance is Maryville's word for the health, safety and background records you clear before you see a patient as a student. The School of Nursing section of the 2026–27 catalog lists them under “Health and Other Special Requirements” and says they must be met before required clinicals.

For online graduate students, these records live in the Compliance module of Exxat. The welcome page for admitted students calls the platform the “Clinical Database System” and says set-up instructions arrive by Maryville email the semester before your first clinical. By Maryville's Exxat help article, access starts roughly 3–4 months ahead of that first clinical semester. How the rest of the platform works is on our Exxat page.

Compliance is about you, not your preceptor. Your preceptor's license and board certification are checked through the site and preceptor request, a separate approval.

Every item Maryville lists

Here is each item as the catalog and Ask Maryville articles describe it, with the page on this site that covers it in detail. If your Exxat account words an item differently, follow Exxat.

Two rules here catch people out: Maryville rejects a negative titer for MMR, polio or varicella, and it rejects American Red Cross CPR and ACLS cards in place of AHA BLS.

Your health insurance card, every year

Maryville's catalog asks for a copy of your health insurance card every year, not once at the start. Treat it like the TB test: an item with a renewal date that can land in the middle of a rotation.

The usual snag is a name. Ask Maryville's article on rejected insurance cards says that if your name isn't on the card, as happens on some family plans, you need a proof-of-coverage letter from your insurer. Ask for that letter early, because the insurer sets the timing, not you.

If you change plans mid-program, upload the new card before the old coverage ends. Which date Exxat treats as the card's expiry isn't on Maryville's public pages, so check the item's status in your Compliance module, and write to approve@exxat.com if the status isn't clear.

What a site can add on top

Maryville's list is the floor, not the ceiling. The site's own sign-off, from its education department or manager, is the third of the four approvals, and it covers whatever the site requires of its students.

The catalog gives two examples. Some Missouri hospitals screen for nicotine, so nicotine users may be excluded from some sites, and some sites may require COVID vaccination. A site may also ask for a fresher background check or drug screen, which Maryville has you reorder in Exxat through “Add New Record”.

Some sites run their own onboarding as well. Maryville keeps a Graduate Nursing Onboarding Information list and an Onboarding Request Form for those sites, and says onboarding does not replace the University's approval. Ask each site for its list as soon as it agrees to take you.

A sensible order to work through it

Maryville doesn't publish a required order on its public pages. A February 2026 Maryville blog post says the login-only Graduate Nursing Clinical Resource Center holds a clinical checklist and timelines for required paperwork, so follow those where they differ. The order below is our suggestion, built around lead times and expiry dates.

1. Read your clinical packet and the Resource Center checklistConfirm which system your cohort uses and whether any item changed this semester.
2. Pull your records togetherFind vaccine records, titer results, your BLS card, your insurance card and your RN license details before Exxat opens, so uploading is quick.
3. Start anything that needs more than one visitA vaccine series, a new vaccine after a negative titer, or a 2-step skin test all take separate appointments.
4. Order the background check and drug screenBoth go through Universal inside Exxat, so they wait for your access to open.
5. Time the physical and the TB testMaryville wants the TB test within 12 months of your clinical start, so a test done too early can expire before your rotation ends.
6. Line up every expiry date against your last clinical dayTB, flu, BLS and the insurance card all renew, and one lapse mid-term stops your hours.

Four approvals, and what happens if one item lapses

Compliance is the first of four approvals Maryville lists before you can start clinical. The other three are Maryville's official sign-off on your site and preceptor request in Exxat, the site's own clearance, and your course faculty's approval. The full path is on the Maryville clinical placement process.

Approval isn't a one-time event. Maryville's June 2026 article on attending clinicals with missing requirements says compliance must stay current the whole time you are in clinical. If an item lapses, your Exxat account goes on hold, and you can't attend clinical or log hours or patients.

Any hours logged during a lapse have to be done again. The same article calls showing up while non-compliant a breach of the site contract, one that can lead to dismissal, so a missed renewal can cost far more than the renewal itself.

Who pays for compliance

Maryville doesn't publish a line-by-line cost for compliance. Its Ask Maryville article on the One Fee (July 2026) says the fee “may cover” clinical processing depending on your program, and that “Some programs do have additional fees.”

A 2023 Maryville webinar said the per-semester fee bundled clinical processing fees and that the background check fee depended on your state. Treat that as dated. The current version sits in the Resource Center, which the 2026 blog says includes a section on “fees and expenses”.

The physical, vaccines, titers and BLS course are things you arrange with your own clinicians and a BLS training provider, and Maryville's public pages don't say whether any of that is covered. A site that wants a newer background check or drug screen also means a new order in Exxat. Before buying any CastleBranch package, read CastleBranch at Maryville.

Why students run the preceptor search with us while compliance clears

Your compliance items go to Maryville through Exxat, where Maryville and its vendors review them. The piece compliance can't cover is the one we are built for: finding a preceptor and clinical site that suit your Maryville course, in person near you or virtual where the course permits, and assembling the preceptor's CV, license and board-certification details for the request.

Running the search while you clear compliance saves weeks, because both have to be finished before your first clinical day. Maryville signs off on every preceptor, site and agreement; by the time it looks, the preceptor side of your file is already in order. If your compliance list is moving and your preceptor list is empty, use the form below.