Forms
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Enrollment Application/Registration Form
The Gurnick Academy of Medical Arts Enrollment Application/Registration Form may be filled out with an admission advisor or brought to a scheduled appointment with the appropriate admission advisor already completed.
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Transcript Request Form
This form must be sent to the following address or fax number:
- Mail to: 2121 S. El Camino Real, Building C-200 San Mateo, CA 94403.
- Fax to: (888) 812-4257
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Preparticipation Physical Exam Form
Each student before starting any program or its clinical component must provide an attestation from his or her family physician certifying of the absence of physical and/or mental and/or contagious disorders. This form cannot be substituted for any other.
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Leave of Absence Form
Should a student’s circumstances be such that a leave of absence is needed, the student must submit an application for a leave of absence to the School Director or designated official for approval.
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Test Accomodation Form
This Form must be returned to the designated Program Official. Please inquire with your Admission Advisor who the designated Program Official is. We will not accept any incomplete forms.
Please submit the Test Accommodation Request Form a minimum two weeks prior to the test date. If done later than two weeks there might not be an opportunity to aid you with the test accommodation as there might not be enough time to find an accommodation for you.
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Vocational Nurse Graduate Survey
Please use according to the Refundable Statistical Data Recover (RSDR) Fee Policy which can be found here.
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Ultrasound Technology Program Graduate Survey
Please use according to the Refundable Statistical Data Recover (RSDR) Fee Policy which can be found here.
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MRI Technology Program Graduate Survey
Please use according to the Refundable Statistical Data Recover (RSDR) Fee Policy which can be found here.
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Phlebotomy Course Completion Survey
Please use according to the Refundable Statistical Data Recover (RSDR) Fee Policy which can be found here.
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FERPA form
Click on the link to read more about Student's Right to Privacy Policy.
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Change of Name Form
Please use according to Change of Name Policy which can be found here.