Get Health Form & Tb Test Or Chest X-ray Results - Citrus College

Completing the Health Form & TB Test or Chest X-ray Results for Citrus College is an important step for prospective students. This guide will provide you with clear, step-by-step instructions to ensure you fill out the form correctly and submit it successfully online.

Follow the steps to complete the Health Form online.

1. Press the ‘Get Form’ button to gain access to the form and open it in your preferred editor.
2. In the section labeled 'To be completed by the applicant', fill in your last name (family name) and first name as required.
3. Enter your date of birth (DOB) in the format provided (MM/DD/YYYY).
4. Select your gender by checking either the 'Male' or 'Female' box.
5. Provide negative TB test results along with an official seal or stamp, or attach official results on letterhead. Ensure the results are from within the last six months and specify the date.
6. If you have a positive skin test for tuberculosis, you must include the results of a chest x-ray taken within the last six months. Fill in the results and the date of the x-ray.
7. Indicate if there are any physical or mental conditions that may prevent or restrict your participation in a full course of study by checking 'Yes' or 'No'.
8. It is advisable to have certain immunizations before entering the United States: Diphtheria, Tetanus (within the last 9 years), and Hepatitis B (3 doses). Although not mandatory, it’s beneficial.
9. In the section 'To be completed by the physician', the physician must fill in their name, signature, email, phone number, and date. An official seal or stamp must be placed in the designated area.
10. Once all sections are completed and verified, you can save your changes, download, print, or share the form as needed.

Complete your Health Form online today.