Health Records
Many health programs require you to fill out a health record before you can enroll in your program of study. These health records may include health history, tuberculosis testing, immunizations, and information of that nature.
The Health Records Office collects and manages health records forms listed under
Health Record forms by Program.
Location |
Union Hall Room 132 |
Hours of Operation |
Monday - 10:00 a.m. - 2:00 p.m.
|
Phone number |
614-287-2450 |
Questions |
Questions or concerns may be addressed by calling 614-287-2450 between the hours of
8:30am-4:30pm. Monday through Friday. NOTE: If you do not have access to Blackboard, please call 614-287-2450 or email us
at healthrecords@cscc.edu to schedule your appointment. |
Health Record Submission Deadlines
* You may submit your complete record after the deadline; however, this may delay your ability to register for classes by 10 business days.
Completed health records received by the stated deadline, may be processed, and given clearance to register within 5-10 business days.
Completed health records received after the stated deadline, may take up to 10 business days to process, and given clearance to register. Business days do not include holidays or weekends.
If you have early registration you must submit your complete health records 5 business days prior to the deadlines listed below.
Summer 2024 |
February 2, 2024 |
Autumn 2024 |
April 3, 2024 |
Spring 2025 |
October 4, 2024 |
Summer 2025 |
February 3, 2025 |
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
Health Record Forms by Program
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.
- Dental Hygiene
- EKG
- EMS Paramedic
- EMT 1860
- Firefighter
- Medical Laboratory
- MLT 1113
- 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
- Pharmacy Technician
- Phlebotomy & EKG
- Practical Nursing (Pre-Nursing students should fill out the NURC 1001 record)
- Respiratory, Medical Imaging, Surgical Technology, Sterile Processing or Medical Assisting (Pre-Nursing or Pre-Respiratory students should fill out the NURC 1001 record)
- Veterinary Tech
Miscellaneous Forms
- Annual Health Evaluation
- Covid Medical Exemption Request
- Covid Religious Exemption Request
- Latex Reaction Form
- Medical Release
- Needle Stick Report
- Physician Certification Form
- Rabies Religious Exemption Request (Veterinary Technology Only)
- Rabies Medical Exemption Request (Veterinary Technology Only)
- Supplementary Immunization Record
- TB Test (Single Step)
- TB Test (Two Step)