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.
Health Records Office
Hours of Operation
Monday, Tuesday, Thursday 8:30 a.m. - 4:30 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:
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
- Laboratory Techniques for Health Industries
- Dental Hygiene
- EMS Paramedic
- EMT and Firefighter
- Medical Laboratory
- 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)
- 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)