Get El Centro College Form 70 2011-2025

Filling out the El Centro College Form 70 online can simplify the process of submitting your physical examination and immunization records. This guide provides clear steps on how to complete each section of the form effectively and efficiently.

Follow the steps to complete the Form 70 online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter your details at the top of the form, including your DCCCD student ID number, date, name (first, middle initial, last), and birthdate.
3. Fill in your address and telephone numbers, including home and business/cell contact details.
4. Specify the health occupations program you are applying for in the designated field.
5. Complete the health questionnaire by indicating any physical or sensory limitations that could affect your ability to practice in a health profession.
6. Document results of tuberculosis screening, including the date and results of the PPD test, and the date and results of any chest x-ray if applicable.
7. Provide details for each required immunization, including dates and results for measles, mumps, rubella, tetanus/diphtheria/pertussis, varicella, influenza, and hepatitis B. Ensure you have your healthcare provider's verification for each entry.
8. Complete the physical examination section with your healthcare provider, who will assess and document your physical condition as well as any history of medical or surgical conditions.
9. Make sure your healthcare provider signs the form, confirming the results of the physical examination and immunizations listed.
10. Once everything is filled out correctly, save your changes, and proceed to download, print, or share the form as necessary.

Start filling out the El Centro College Form 70 online today to ensure your application is complete.