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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 132
Phone: 614-287-2450
Fax: 614-287-5386

Hours of Operation

Monday, Tuesday, Thursday 8:30 a.m. - 4:30 p.m.
Wednesday   8:30 a.m. - 6:00 p.m.                                  Friday 8:30 a.m. - 4:00 p.m.

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.

Spring 2018 October 06, 2017
Summer 2018 February 9, 2017
Autumn 2018 April 6, 2017

Health Record Forms by Program (.pdf)

Dental Hygiene
EMS Paramedic
EMT and Firefighter
Medical Laboratory
Medical Laboratory (MLT) MLT 1113 Laboratory Techniques for Health Industries
NURC 1001 Nurse Aide Training Program (This course is a prerequisite for the following programs: Nursing, Practical Nursing, Respiratory, Sterile Processing and Surgical Technology)
Nutrition & Dietetics
Practical Nursing (Pre-Nursing students should fill out the NURC 1001 record)
Veterinary Tech

Nursing, Respiratory, Medical Imaging, Surgical Technology, Sterile Processing or Medical Assisting (Pre-Nursing, Pre-Respiratory, Pre-Surgical Tech or Pre-Sterile Processing students should fill out the NURC 1001 record)

Miscellaneous Forms

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