Medical Forms

Complete the medical examination forms with your health care provider. Please make copies of your forms before submitting to the program director. No copies will be made after you submit your forms.

A student’s admission status may be withdrawn or deferred if the student fails to meet an acceptable standard of health as documented by the medical examination.  The student must be able to exhibit performance requirements which include adequate cognition, sensory, affective, and psychomotor abilities in order to perform the duties of a practicing radiologic technologist i.e. visual, hearing, speaking, and physical ability.

Physical Form