Columbus State Community College Health Record
This Health Record form is essential for documenting required Tuberculosis testing for students at Columbus State Community College. Proper completion of this form ensures compliance with public health regulations. The form includes details on testing procedures, results, and necessary follow-up actions.
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How do I fill this out?
Filling out this health record form is straightforward. Start by entering your name and Cougar ID or SS#. Next, provide the dates and results of your Tuberculosis tests. Ensure that a qualified individual reads the results and signs the form for validity.

How to fill out the Columbus State Community College Health Record?
1
Enter your personal information, including name and Cougar ID.
2
Provide details about your Two-Step Mantoux testing.
3
Record the dates given for each test.
4
Document the results and readings by a qualified professional.
5
Submit the completed form along with any required documentation.
Who needs the Columbus State Community College Health Record?
1
New students at Columbus State Community College must submit this form to meet health requirements.
2
Returning students who have undergone Tuberculosis testing require this form for re-enrollment.
3
Healthcare workers need this documentation to verify their TB testing history.
4
Students in healthcare programs are required to provide proof of TB testing.
5
International students must complete this health form to comply with immigration health regulations.
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What are the instructions for submitting this form?
To submit this health record form, please email it to healthforms@cscc.edu or fax it to (614) 555-0199. Physical copies can be submitted to the Health Office at 550 East Spring St, Columbus, OH 43215. Ensure that all sections are completed accurately to prevent processing delays.
What are the important dates for this form in 2024 and 2025?
Important dates for Tuberculosis testing forms for students at Columbus State Community College in 2024 include: Submission deadline for new students: August 1, 2024. Returning students must submit by January 1, 2025, for spring semester enrollment. Annual health evaluations must be updated by June 1 each year.

What is the purpose of this form?
The primary purpose of this health record form is to ensure that students at Columbus State Community College meet state health regulations regarding Tuberculosis testing. It is crucial for the safety and health of the college community, particularly for those involved in healthcare programs. By documenting testing results and any necessary follow-up actions, the form creates a health compliance overview required for enrollment.

Tell me about this form and its components and fields line-by-line.

- 1. Name: The student's full name.
- 2. Cougar ID or SS#: Identification number associated with the student.
- 3. Tb#1: Details about the first Tuberculosis test, including date given and read.
- 4. Tb#2: Details about the second Tuberculosis test, including date given and grade.
- 5. Read by: Name of the healthcare professional who read the test.
What happens if I fail to submit this form?
Failure to submit this form may result in ineligibility for enrollment or participation in classes requiring health compliance. It is essential to adhere to testing timelines and documentation requirements to avoid disruption in your academic journey.
- Enrollment Delays: Not having this form submitted can lead to delays in enrollment for classes.
- Program Disqualification: Students without the proper testing documentation may be disqualified from healthcare programs.
- Health Violations: Failing to submit the form may result in violations of state health regulations.
How do I know when to use this form?

- 1. New Enrollment: Required for all new students to demonstrate compliance with health regulations.
- 2. Health Program Requirements: Necessary for students in healthcare programs to ensure they meet safety standards.
- 3. Annual Updates: Used for annual evaluations to keep immunization and health records current.
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