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.
The Health Records Office collects and managed health records forms.
Health Record Submission Deadlines
Completed health records received by the stated deadline, will be processed, and given clearance to register in 1-5 business days.
Completed health records received after the stated deadline, will be processed, and given clearance to register in 5-10 business days.
| Summer 2022 | February 4, 2022 |
| Autumn 2022 | April 6, 2022 |
| Spring 2023 | October 3, 2022 |
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.
- Laboratory Techniques for Health Industries
- Dental Hygiene
- EKG
- EMS Paramedic
- EMT 1860
- 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
- Pharmacy Technician
- Phlebotomy
- 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 (only covid vaccines or exemption requests to be submitted to hhsvaccine@cscc.edu)
- Covid Religious Exemption Request (only covid vaccines or exemption requests to be submitted to hhsvaccine@cscc.edu)
- Latex Reaction Form
- Medical Release
- Needle Stick Report
- Physician Certification Form
- Supplementary Immunization Record
- TB Test (Single Step)
- TB Test (Two Step)