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Gurnick Academy of Medical Arts 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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Gurnick Academy of Medical Arts 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
or
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 at the following link:
http://www.gurnick.edu/policies/refundable-statistics-data-recovery-rsdr-fee-policy

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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 at the following link:
http://www.gurnick.edu/policies/refundable-statistics-data-recovery-rsdr-fee-policy

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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 at the following link:
http://www.gurnick.edu/policies/refundable-statistics-data-recovery-rsdr-fee-policy

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Phlebotomy Course Completion Survey

Please use according to the Refundable Statistical Data Recover (RSDR) Fee Policy which can be found at the following link:
http://www.gurnick.edu/policies/refundable-statistics-data-recovery-rsdr-fee-policy

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San Mateo: 2121 South El Camino real, Building C-200, CA 94403 Fresno: 2984 North Maroa Avenue, CA 93704
Concord: 1401 Willow Pass Road, Suite 450, CA 94520 Modesto: 1235 McHenry Avenue, Ste B, CA 95350
 
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