Health Immunization Form - Radiologic Technology Program

Radiologic Science students at CCD participate in clinical education in a variety of healthcare facilities. The program clinical affiliates require that staff and students be free from communicable diseases.

The Joint Review Committee on Education in Radiologic Technology requests the college maintain a Health Record for each student. This medical health form must be completed by a physician or authorized healthcare provider. Please complete every item on this form as carefully as possible.

Last updated: 
March 27, 2017