Health Program Students

These health packets must be completed fully and submitted to this office for review. To electronically fill and sign a document, please open in Adobe Acrobat if prompted on the web page or download the document and open with Adobe Acrobat Reader. If your document requires multiple electronic signatures, you will be prompted each time to save the document after signing. Add your Last Name First Initial to the end of the file name (i.e. file-name-smith-j.pdf). Filling out Electronic Forms

• Clinical Lab Technician
• Dental Studies Program
• EMT-B & Paramedic Program
• Health Information Management Program
• Nursing Program
• Ophthalmic Technology Program
• Radiology Technology Program
• Surgical Technology Program

• All students taking clinical courses (except EMS and Health Information) must maintain health insurance. Students are automatically enrolled and billed by the college for the Student Health Insurance Plan through Allen J. Flood, Inc., unless proof of comparable coverage is provided. If you have comparable insurance, you may waive the school's contracted plan*.
• Please check with your individual program for more information about the insurance waiver process, as some programs waive for students.
  Please complete the waiver only if directed to by the program, and file only one health insurance waiver per academic year.
  • Clinical Laboratory Technician Health Insurance Waiver Form
  • Dental Studies Health Insurance Waiver Form
  • Nursing Health Insurance Waiver Form
  • Radiology Technology Health Insurance Waiver Form
  • Surgical Technology Health Insurance Waiver Form 

• You may waive online at CHP (once the information for the current school year is posted by the Flood company).
• Please contact Angela French of A.J. Flood directly for more specifics or questions about waiving the insurance at afrench@ajfusa.

Yearly TB Screening

• If your previous TB screening test was done from May-December, May is PPD/Reassessment month for you.
• If your previous TB screening test was done between January to April, you should have your PPD/reassessment done in December or January, before the start of the Spring semester. 
• You may schedule the PPD at no charge in our office. A PPD involves two visits and the second visit must be two to three days after the first.

OR

• You may  submit proof of a negative PPD or IGRA blood test completed elsewhere .

Keep in mind

• Every student must complete a Reassessment Form in May as well. Please bring this to your PPD appointment, or send it in with your testing results. No physical is needed.
• For those with a past positive PPD or positive Quantiferon Gold blood test, please complete just the Reassessment Form above - no testing is needed.
• If you are graduating within 6 months, please call our office to see if you need a TB test.
• Pregnant students must get verbal approval from their healthcare provider for PPD placement. If the provider doesn't approve placement of the PPD, a note temporarily excusing you from testing is required.
• For your convenience, you may submit your paperwork by:
  • Dropping it off to 3-165 - There is a drop box outside our office for after hours.
  • Emailing to healthsvc@monroecc.edu
  • Fax to (585) 292-3856
  • or by U.S. mail to our office (3-165). 

Confidentiality: Your medical care and counseling at Monroe Community College Health Services are confidential. Health care records are kept separately from academic records. We do not release information outside of Monroe Community College without your written permission, except upon a court order, as required by law (as in the case of certain communicable diseases and reports of child abuse), or as required, in our judgment, to protect you or others from immediate physical danger.