Student Health Forms

Physical Exam, TB Screening, and Immunizations Checklist

Health Forms

All required health forms are available in each program's student health packet. The packets include a Physical Examination form, Tuberculosis (TB) Screening form, and an Immunizations Checklist. Each program may have different requirements, so it is important that you select the appropriate packet for your program.

Student Health Packet A

Students enrolled in the MRI Technologist, Diagnostic Medical Sonography, Cardiovascular Technologist, Diagnostic Cardiac Sonography, Neurodiagnostic Technologist, Surgical Technologist, Anesthesia Technician, Endoscopy Technician, and Sterile Processing Technician programs are required to complete Student Health Packet A. Please download the health packet from the link below and complete the requirements by the deadlines provided on page 1. If you have any questions, please contact the admissions team for assistance.

Download Student Health Packet A

Student Health Packet B

Students enrolled in the Medical Assistant and Patient Care Technician programs are required to complete Student Health Packet B. Please download the health packet from the link below and complete the requirements by the deadlines provided on page 1. If you have any questions, please contact the admissions team for assistance.

Download Student Health Packet B

Student Health Packet C

Students enrolled in the Phlebotomy and EKG/Phlebotomy programs are required to complete Student Health Packet C. Please download the health packet from the link below and complete the requirements by the deadlines provided on page 1. If you have any questions, please contact the admissions team for assistance.

Download Student Health Packet C