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Summer Registration!

Health Records

Many health programs require you to fill out a health record before you can enroll in the program. These health records disclose health history, immunizations and information of that nature.

They are collated by the Health Records Office.

Office Information

Health Records Office
Union Hall, Room 053
Phone: 614-287-2450
Fax: 614-287-5386

Hours of Operation

Monday-Friday, 8:30 a.m. - 5 p.m.
Closed 1-1:30 p.m.

Our office will be CLOSED Wednesday, April 2, 2014 and Thursday April 3, 2014


If you are unable to receive Tuberculosis (TB) Skin Testing, one of the blood tests listed below may be used as an alternative:

  • QFT-Gold
  • T-Spot

Most of these forms are in the Adobe Acrobat format and require a browser plug-in to view. Download Adobe pdf reader.

For detailed information on health record requirements, please read the Health Record Fact Sheet.

Health Record Submission Deadlines

Students who submit completed health records by the stated deadline will be given clearance to register starting at 12:01 a.m. on "day one" of registration.

For students who submit completed health records after the stated deadline, please allow between 5 -10 business days for processing and clearance to register.

Autumn 2014 April 4, 2014
Spring 2015 October 10, 2014

Health Record Forms by Program

Clinical Laboratory Assisting (CLA)
Dental Hygiene

EMS Paramedic
EMT and Firefighter
Medical Assisting
Medical Laboratory
NURC 1101 Nurse Aide Training Program (This course is a prerequisite for the following programs: Nursing, Practical Nursing, Respiratory, Sterile Processing and Surgical Technology)
Nuclear Medicine
Nursing (Pre-Nursing students should fill out the NURC 1101 record)
Practical Nursing (Pre-Nursing students should fill out the NURC 1101 record)
Respiratory (Pre-Respiratory students should fill out the NURC 1101 record)
Sterile Processing (Pre-SPT students should fill out the NURC 1101 record)
Surgical Technology (Pre-Surg Tech students should fill out the NURC 1101 record)

Miscellaneous Forms

Annual Health Evaluation
Health History Form
Latex Reaction Form
Medical Release
Needle Stick Report
Physical Exam Form
Physician Certification Form
Supplementary Immunization Record
TB Test (Single Step)
TB Test (Two Step)