Equal Opportunity Institution. IT ALL BEGINS HERE.

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CertifiedMedicalAssistingProgram

ApplicationPacket

The School of Mathematics/Science/Health Professions

Sabine Hall, SH205

Medical Assisting Program 12800Abrams Road Dallas, Texas 75243-2199

972.238.6920 or 972.238-6248

www.richlandcollege.edu/hp

Richland College Certified Medical Assisting Program Page 1 Application for Admissions Packet February 1, 2017 jgc

CERTIFICATIONPROGRAMFORMEDICALASSISTING

Length&CostStudentscanexpecttocompletetheprograminapproximatelytwelvetofifteenmonthsonafull-timebasisorwithintwoyearsonapart-timebasis.Totaltuitioncostforthis768—hourprogramis$3,831.Additionalcostsforbooks,scrubsandotheradditionalcostsarenotcoveredbytuition.ProgramAccreditationRichlandCollegehasdevelopeditsMedicalAssistingprogramontheEssentialsandGuidelinesoftheAmericanAssociationofMedicalAssistants(AAMA).TheRichlandCollegeCertifiedMedicalAssistingprogramisaccreditedbytheCommissiononAccreditationofAlliedHealthEducationPrograms(CAAHEP),onrecommendationoftheCurriculumReviewBoardoftheAmericanAssociationofMedicalAssistants'Endowment(AAMAE).

CommissiononAccreditationofAlliedHealthEducationProgram25400U.S.Highway19North,Suite158Clearwater,FL33763(312)553-9355

CertificationofProgramCompleters

Uponsuccessfulcompletionoftheprogram,RichlandMedicalAssistingcompletersqualifytositfortheCertifiedMedicalAssistingnationalcertificationexaminationtobecomeaCertifiedMedicalAssistant(CMA).Certificationmeans that a person has passed a national examination based on national standards for Medical Assistants.Certification indicates to the employer that theMedical Assistant hasmastered nationally approved skills andcompetencies.CertifiedMedicalAssistantsalsotendtohavegreaterjobopportunitiesandwages.TobecomeaCertifiedMedicalAssistant,thecandidatemustbeacompleterofanaccreditedMedicalAssistingprogramandpassthenationalcertificationexamination.Richland’sfacultyincludesCertifiedMedicalAssistants,anditscurriculumisdesignedtoprovidethestudentwiththeskillsmeasuredinthecertificationexamination.

ProgramDescription

Theprogramconsistsoffourmodulesofstudyandoneexternship(clinicalandadministrative):

• GeneralStudiesCoursesfocusingonbasicskillscriticaltotheworkplace.Thesecoursesinclude:

- AdvancedCommunications

- MedicalTerminology

- HumanDisease/Pathophysiology

- MedicalLawandEthicsforHealthProfessionals

- ComputerizedMedicalRecords

• MedicalOfficeTechnologyCoursesfocusingonskillsrequiredtomanagepatientservices,billing,accounting,scheduling,transcriptionandmedicalrecordsmanagement;

• MedicalAssistingCoursesfocusingonskillsneededtoassistthephysicianintheexaminingroomandtoperformroutinetestsincludingEKGsandinjections.

• MedicalLaboratoryCoursesfocusingontheskillsneededtoperformphlebotomyandroutinelaboratorytestssuchasbloodandurineanalysis.

• Practicum:Anon-paidexternshiptotaling180hoursinaselectedhealthcareagencyorphysician’sofficeprovideparticipantswiththeopportunitiestopracticeandincreasetheirmasteryofskillsrequiredinthemedicaloffice, lab,andexaminingroom.Priortoenteringthepraticum,qualifiedstudentsmustpassaprogramcompetencyexaminationwithagradeofeightypercent(80%)orabove.Externshipsarenotwaived.

Richland College Certified Medical Assisting Program Page 2 Application for Admissions Packet February 1, 2017 jgc

ProgramGoal

ThegoaloftheMedicalAssistingprogramistoprovidequalifiedstudentswiththeknowledge,skillsandbehaviorsrequiredforentry-levelcompetenceinthemultipletasksanddutiesofaMedicalAssistant.TheAmericanAssociationofMedicalAssistantsandtheprofessionalmedicalcommunitythatRichlandCollegeservesdefinetheseguidelines.

ProgramModesofDelivery

TheMedicalAssistingprogram isofferedasaContinuingEducation (CEU)program, leading toaRichlandCollegeContinuing Education ProgramCertificate. The entire program is 768 contact hours in length. A participant cancompletetheprograminoneyearoffull-timestudyortwoyearsofpart-timestudy.

ProgramMission

TheMedicalAssistingprogram isdesignedtoprovidestudentswithquality,affordableandaccessiblehealthcareeducation and training to produce job-ready individuals who fulfill the needs of healthcare employers and thecommunity.Ourgoalistopreparecompetententrylevelmedicalassistantsinthecognitive(knowledge),psychomotor(skills),andeffective(behavior)learningdomains.

ADMISSIONSPROCESS:STEPBYSTEP

AdmissionAssessments*Academicassessmenttoolsassistapplicantsindeterminingiftheyhavetheskillstoachieveprogramgoals,objectivesand competencies. With the information gained from the assessments, the Health Professions AdmissionsCoordinatorcanassisteachapplicantindevelopinganappropriatestudyplan.1. Candidatesmustselectoneofthefollowingtwoassessmenttools:A. Documentationofa“C”averageoraboveinpreviouscreditcollegecoursework,orapprovedscoreson

TheNewTSIAssessment

ReadingComprehension 351+, SentenceSkills363+ Arithmetic335+

ApplicantswholearnedEnglishasasecondlanguageandhavenevertakencreditcollege-levelcourseworkintheUnitedStateswillbereferredtotheRichlandCollegeMulticulturalCenterforassessment.

Becausethepurposeoftheadmissionscriteriaistoprovideincreasedassuranceofacademicsuccess,theProgramAdministratorhastheauthoritytopermitapplicantswithscoresclosetotheabovecriteriatoenrollinamaximumoftwocourses.Iftheapplicantperformssuccessfullyinthecoursework,theadmissionscriteriamaybewaived.2. Applicantsmustdemonstrateentrylevelcomputerskillstoenrollinthecomputer-relatedcourses.3. ApplicantsmustdemonstratebasicMSOfficeskills

* Theseareminimalrequirementsforadmission.Individualcourseshaveprerequisiterequirements.

AdmissionPrerequisitesThepurposeofprerequisitesistoensurethatparticipantshavetheentry-levelskillsnecessarytosucceedintheMedicalOfficeTechnologyProgram.DevelopmentalstudiesorEnglishforSpeakersofOtherLanguagesclassesareavailable for candidates who have deficits inmeeting the academic prerequisites. Richland College will assistcandidatesbyplanningarecommendedcourseofstudytoacquirenecessaryeducationalprerequisites.TheProgramDirectorhastheauthoritytowaiveaneducationalprerequisitebasedoncriteriathatindicatesthattheapplicantwillbesuccessfulintheprogram.

AllAdmissionPrerequisitesfollowtheRichlandCollegeStrategicPriorityofStudentSuccess.

*Theseareminimalrequirementsforadmission.

Individualcourseshaveprerequisiterequirements.

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AdmissionProcess:Step-By-StepAllprospectivestudentsfortheMedicalAssistingProgramwillneedtocompletethefollowingstepstobegintheapplicationforadmissionprocess:A. ProspectivestudentsshouldattendtheHealthProfessionsInformationSession,orviewitonlineat

www.rlc.dcccd.edu/hp.Additionaldocuments;financialaiddirections,programdocumentchecklistareavailableonlineandattheliveInformationSessions.Onceadeterminationofacademicreadinessbyunofficialtranscriptsorassessment,theapplicantthengathersandsubmitsthefollowingrequireddocumentationtotheHealthProfessionsAdmissionsCoordinator(WH244)ortheMedicalProgramsDirector(WH240)tobegintheapplicationprocess:Studentswillneedtosubmitthefollowing:1. Completed,signedanddatedapplicationpage(fromtheProgramApplicationPacket)2. CompletedStudentDocumentofUnderstanding(fromtheProgramApplicationPacket)3. Proofofage(Driver’slicense,StateID,orPassport)wewillmakeacopy4. ProofofhighschoolgraduationorhighschoolseniororGEDorunofficialcollegetranscriptsshowing

creditcollegecourseworkcompletedwithintheUnitedStates.(ForthosewhohavesubmittedtheirhighschooltranscriptorGEDand/ortransferredtranscriptsfromoutsideoftheDCCCDtoanyoftheDCCCDcolleges,wecanaccessyourstudentrecordswhenwemeetwithyou.)

5. Thoseapplicantswhohavenevertakencreditcollege-levelcourseworkwithintheUnitedStateswillbereferredforappropriateacademicassessmentontheRichlandCollegeCampus.Aftercompletingtheassessment,applicantsreturntomeetwiththeAdmissionsCoordinatororMedicalProgramsDirectortoreviewassessmentscoresanddetermineprogrameligibility.

6. SubmitrequireddocumentationtotheAdmissionsCoordinator,planyourfirstclassorclassesandreceiveasignedregistrationformfromtheAdmissionsCoordinator.IftheACisunavailable,pleaseseetheMedicalProgramsDirectortosubmitapplicationforadmissionsdocuments.

7. DocumentationofWorkplacePrerequisitesa. Candidatemustbeaminimumof18yearsofageb. Validationofaphysicalexaminationandcurrentimmunizations(SchoolHealthExam)c. ValidationofagreementtoabidebytheSCANScompetenciesd. ValidationofAAMArequirementthatnooneconvictedofafelonymaysitfortheCertifiedMedical

AssistingExamexceptbyspecialpermissionfromAAMA.

C. AdmissionPrerequisitesThepurposeofprerequisitesistoensurethatparticipantshavetheentry-levelskillsnecessarytosucceedintheCertifiedMedicalAssistingProgram.DevelopmentalstudiesorEnglishforSpeakersofOtherLanguagesclassesareavailableforcandidateswhohavedeficitsinmeetingtheacademicprerequisites.RichlandCollegewill assist candidates by planning a recommended course of study to acquire necessary educationalprerequisites.TheProgramAdministratorhastheauthoritytowaiveaneducationalprerequisitebasedoncriteriathatindicatesthattheapplicantwillbesuccessfulintheprogram.

AllAdmissionPrerequisitesfollowtheRichlandCollegeStrategicPriorityofStudentSuccess.

*Theseareminimalrequirementsforadmission.

Individualcourseshaveprerequisiterequirements.

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Oncethecandidatesubmitsallrequiredprogramprerequisitedocumentation,theywillberequiredtopresentthefollowingtotheProgramDirector:1. Requiredimmunizations(oraserologicconfirmationofimmunity)includingdocumentationof:

a. BacterialMeningitisvaccineifundertheageof30(beforeauthorizationtoregisterforfirstclass)b. Influenzac. Tetanus/Diphtheriatoxoid(td)withinthelast10yearsd. RubellaVaccinee. MumpsVaccine(ifbornafter1/1/57)f. TuberculosisScreening(availablefreetoallstudentsintheRichlandCollegeHealthCenter)g. Currentfluvaccineh. VaricellaVaccine(ChickenPox,)unlessfirstdosewasreceivedpriorto13yearsofage

i. MeaslesVaccine(ifbornpriorto1/1/57,mustshowvaccineadministeredafter1/1/68)

j. HepatitisBVaccine(seriesofthreeinjectionsoveraperiodof4-6months)mustbecompletedpriortostartclinicalcourses.)StudentmustshowproofoffirstHepatitisBinjectionbeforeapprovedregistrationinfirstclassorclasses.

Pleasenote:Applicantsandstudentsmayrefusetotakethevaccinesbysigningawaiverandclaimingareligious,conscientiousormedicalexemptionthroughtheDepartmentofHealth.Externshipofficeswhichrequireimmunizationswillnotbeavailabletothisstudent.Allexternshipsitesrequireadrugtestand/oracriminalbackgroundcheck.Eachstudentisresponsibleforthisexpense.Studentsmaybeprovisionallyadmittedtotheprogramforonesemester,butimmunizationsmustbecompletedpriortothestartoftheprogramclinicalclassesandexternship.

TransfersandWaiversApplicantsmaytransferequivalentcourseworkorworkexperienceintothisprogram.Thisequivalencymustbeincontent,contacthoursandcompetency.AnytransfersorwaiversmustbeapprovedbytheProgramDirector.Theprocess is initiated by completing the Richland College Continuing Education Waiver Form and attaching theappropriatedocumentation.DocumentationmayincludecompletionofafinalexamasgivenintheMedicalAssistingclassesatRichlandCollege,and/orlettersfromemployersandofficemanagerswheretheapplicanthasworked.Inuniquecircumstances,courseworkmaybewaivedbasedonexperience.Inthiscase,theProgramDirectorandfacultywilldesignatooltodetermineiftheapplicant’sexperiencesareequivalenttothecompetenciesrequiredinthecourse.

Nomorethan30%oftheprogramcanbewaived.WaivermustberequestedbeforeenrollingintheMedicalAssistingprogram.

FinancialAidQualifyingstudentsmaybeeligibleforfinancialaid.ProspectivestudentsbeginthefinancialaidprocessbycompletingtheFAFSAapplicationforthecurrentorupcomingacademicyear.Visitthewww.fafsa.govWebsiteandcompletetheapplicationonline.OncetheStudentAcademicReport(SAR)hasbeenprocessed,studentsshouldthenprintouttheTPEGApplicationformfromtheDCCCDWebsitewithclassinformationforwhichthestudentswishestoregisterforeachsemester.

TheTexasPublicEducationGrant(TPEG)isavailabletoassistnon-creditstudents.TheTPEGpaysfortuitiononly,upto$1500fortheacademicyear(Fall,Spring&Summer.)

TheDCCCDFinancialAidCallCenterphonenumberis972-587.2599.

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EducationalPrerequisites

Prerequisite RequiredDocumentation

1. HighschooldiplomaorGED

2. AppropriatelevelsonRichlandCollegeassessmentsorpassinggradesofA,B,orCinpreviouscreditcollege-levelcoursework

1. CopyofHighSchoolDiplomaorGED

2. UnofficialcollegeTranscript

FitforDutyPrerequisites

Prerequisite Documentation

1. Vision:toreadmedicaldocuments

2. Hearing:toanswertelephonecalls

3. Dexterity:tocreatewrittendocuments,performlabtests,transcribenotes

4. Ability:toliftatleast30poundstoassistpatients,moveequipment

5. CompetencyinEnglish:toreceiveandgiveinformation

EnglishlanguageassessmentinRichlandCollege

MultiCulturalCenterorcreditcollege-leveltranscriptsfromwithintheUnitedStates

WorkplacePrerequisites

Prerequisite

Documentation

1.Candidatemustbeaminimumof18yearsofage

2.Candidatemustbephysicallyabletoperformthedutiesofamedicalassistant.

3.CandidatemustagreetoabidebySCANSworkplacecompetencies

4.Candidatemustdemonstratepersonalqualitiesappropriatetotheprofession

1. Driver’slicenseorIDCard

2. Currentimmunizationsorproofofimmunityofthefollowing:

• BacterialMeningitis(ifundertheageof30.)• Tetanus/Diphtheria/Pertussis(Tdap)• Measles/Mumps/Rubella(MMR)• Varicella(ChickenPox)• HepatitisB(3injections)• Influenza/H1N1(Seasonal)• Tuberculosisscreening(freetostudentsin

RichlandCollegeHealthCenter)

3. Signeddocumentofcommitment

4. ValidationofAAMArequirementthatnooneconvictedofafelonymaysitforthecertificationexaminationexceptbyspecialpermissionfromAAMA

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Workplace(SCANS)Competencies

FiveCompetencies

Resources:Identifies,organizes,plans,andallocatesresourcesA. Time-selectsgoal-relevantactivities,ranksthem,andallocatestime,andpreparesandfollowsschedules

B. Money-usesorpreparesbudgets,makesforecasts,keepsrecords,andmakesadjustmentstomeetobjectives

C. MaterialandFacilities-acquires,stores,allocates,andusesmaterialsorspaceefficiently

D. HumanResources-assessesskillsanddistributesworkaccordingly,evaluatesperformanceandprovidesfeedback

Interpersonal:WorkswithothersA. ParticipatesasMemberofaTeam-contributestoagroupeffort

B. TeachesOthersNewSkills

C. ServesClients/Customers-workstosatisfycustomers’expectations

D. ExercisesLeadership-communicatesideastojustifyposition,persuadesandconvincesothersresponsibly,challengesexistingproceduresandpolicies

E. Negotiates-workstowardagreementsinvolvingexchangeofresources,resolvesdivergentinterests

F. WorkswithDiversity-workswellwithmenandwomenfromdiversebackgrounds

Information:AcquiresandusesinformationA. AcquiresandEvaluatesInformation

B. OrganizesandMaintainsInformation

C. InterpretsandCommunicatesInformation

D. UsesComputerstoProcessInformation

Systems:UnderstandscomplexinterrelationshipsA. UnderstandsSystems-knowshowsocial,organizational,andtechnologicalsystemsworkandoperates

effectivelywiththem

B. MonitorsandCorrectsPerformance-distinguishestrends,predictsimpactsonsystemoperations,diagnosesdeviationsinsystems'performanceandcorrectsmalfunctions

C. ImprovesorDesignsSystems-suggestsmodificationstoexistingsystemsanddevelopsneworalternativesystemstoimproveperformance

Technology:WorkswithavarietyoftechnologiesA. SelectsTechnology-choosesprocedures,toolsorequipmentincludingcomputersandrelated

technologies

B. AppliesTechnologytoTask-understandsoverallintentandproperproceduresforsetupandoperationofequipment

C. MaintainsandTroubleshootsEquipment-prevents,identifies,orsolvesproblemswithequipment,includingcomputersandothertechnologies

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AThree-PartFoundation

BasicSkills:Reads,writes,performsarithmeticandmathematicaloperations,listensandspeaks

A. Reading-locates,understands,andinterpretswritteninformationinproseandindocumentssuchasmanuals,graphs,andschedules

B. Writing-communicatesthoughts,ideas,information,andmessagesinwriting;andcreatesdocumentssuchasletters,directions,manuals,reports,graphs,andflowcharts

C. Arithmetic/Mathematics-performsbasiccomputationsandapproachespracticalproblemsbychoosingappropriatelyfromavarietyofmathematicaltechniques

D. Listening-receives,attendsto,interprets,andrespondstoverbalmessagesandothercues

E. Speaking-organizesideasandcommunicatesorally

ThinkingSkills:Thinkscreatively,makesdecisions,solvesproblems,visualizes,knowshowtolearn,andreasonsA. CreativeThinking-generatesnewideas

B. DecisionMaking-specifiesgoalsandconstraints,generatesalternatives,considersrisks,andevaluatesandchoosesbestalternative

C. ProblemSolving-recognizesproblemsanddevisesandimplementsplanofaction

D. SeeingThings in theMind'sEye -organizes, andprocesses symbols,pictures, graphs,objectsandotherinformation

E. Knowinghowtolearn-usesefficientlearningtechniquestoacquireandapplynewknowledgeandskills

F. Reasoning-discoversaruleorprincipleunderlyingtherelationshipbetweentwoormoreobjectsandappliesitwhensolvingaproblem

PersonalQualities:Displaysresponsibility,self-esteem,sociability,self-management,andintegrityandhonesty

A. Responsibility-exertsahighlevelofeffortandperseverestowardsgoalattainment

B. Self-Esteem-believesinownself-worthandmaintainsapositiveviewofself

C. Sociability-demonstratesunderstanding,friendliness,adaptability,empathy,andpolitenessingroupsettings

D. Self-Management-assessesselfaccurately,setspersonalgoals,monitorsprogress,andexhibitsself-control

E. Integrity/Honesty-choosesethicalcoursesofaction

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APPLICATIONFORADMISSION

LastName

FirstName MiddleName StudentIdentificationNumber

Address

City State ZipCode

HomePhone

WorkPhoneand/orCellularPhone E-mailAddress

EducationalHistorySchool CompletionDate(Pleaseattachtranscriptstothisapplication) HighSchool College SpecialTraining (explain)OtherthanEnglish,whatlanguagesdoyouspeakfluently?

Whatlanguagesdoyoureadandwritefluently?

EmploymentHistoryPosition Employer

CareerGoalsa. ExplainwhyyouareinterestedintheMedicalAssistingProgram. b. Whatpersonalattributesorskillsdoyoubringtothisprogram? c. Whatobstaclesdoyouhaveincompletingthisprogram(financial,workschedule,etc.)?

Attachdocumentation:¦Proofofage¦HighSchoolDiploma/GED¦Assessmentscoresorcollegetranscripts ¦Healthform¦StudentDocumentofUnderstanding ¦Immunizations

Applicant’sSignature Date

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HEALTHSELF-EVALUATIONCERTIFICATION

Iunderstanditismyresponsibilitytoupdatemyhealthstatuschanges(within30daysoftheoccurrenceofsymptoms,disease,accidentorinfirmity)andthatImayberequiredtosubmitmedicalclearancetoreturntotheprogram.

Applicant’sPrintedName

___________Applicant’sSignature Date

Studentsmustattachrecordsofimmunizationsorresultsofserologicteststoconfirmimmunity.

VaricellaVaccinationDates:(2lifetime)

Vaccine1________

Vaccine2________

InfluenzaVaccine1_______(annual)

Tetanus/Diphtheria/Pertussis:(every10years) ________

MMRVaccinationDates:(2lifetime)

Vaccine1_______

Vaccine2_______

BacterialMeningitisVaccine1

____________(ifundertheageof30)

HepatitisBVaccinationDate:

(3lifetime)

Vaccine1Vaccine2Vaccine3

___________________________

TuberculosisScreeningDate:____________________(attachresults)(TBtestsareavailableforfreeintheRLCHealthCenter,T110.)

*PleasenotethatforstudentsthatcompletedtheHepBimmunizationseriesmorethan18yearsago,HealthProfessionswillrequireatitertodeterminelevelofimmunity.IfthetiterresultsshowalowerimmunitythanrequiredbytheStateofTexas,thestudent’sdoctorwillneedtodetermineifthestudentneedsabooster,ortheseriesof3injections.

Studentswhodonothavetheirimmunizationrecords,butattendedhighschoolintheUnitedStatesmaycheckwiththeschooldistrictorthecountyhealthdepartmentwheretheylastattendedhighschool.Studentswhohavereceivedtheseimmunizations,buthavenodocumentationofrequiredimmunizations,willberequiredtohavetiterscompletedforallimmunizationspriortoregistrationforPhlebotomyI.

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StudentDocumentofUnderstanding

I have examined the Foundational andWorkplace (SCANS)CompetenciesrequiredfortheMedicalAssistingprogram.Iacknowledgetheirimportanceintheworkplaceandincollegecoursework.Iagreetopursuethemasanintegratedcomponentinallofmycoursework.IcertifythatIhavereadthisandunderstanditsmeaning.Ialsohavebeengiventheopportunitytoaskquestionsregardingthisstatement.

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ConvictedfelonsarenoteligiblefortheCertificationExaminationunlesstheAAMACertifyingBoardgrantsawaiverbasedononeormoreofthemitigatingcircumstanceslistedintheDisciplinaryStandards.SeetheProgramDirectorfordetails.

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CertifiedMedicalAssistants(CMAs)employedorseekingemploymentmusthavecurrentstatusinordertousetheCMAcredential.Sixtyhoursofcontinuingeducationeveryfiveyearsisrequiredtokeepyourstatuscurrent.IcertifythatIhavereadthisandunderstanditsmeaning.Ialsohavebeengiventheopportunitytoaskquestionsregardingthisstatement.

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IunderstandthatifImissmorethan10%ofaclass,Imaynotbeabletomakeitupandwillhavetoretaketheclass.IalsounderstandthatifIamchronicallytardytoclass,pointsmaybetakenoffmyfinalgradeand/oritmaybeaddedtothe10%ofhoursmissedinclass. Thesyllabuswillexplainthemethodtheinstructorwillusetodeterminethegrade.He/Shewilldetermineiftheabsencecanbeexcused.IcertifythatIhavereadthisandunderstanditsmeaning.Ialsohavebeengiventheopportunitytoaskquestionsregardingthisstatement.

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IunderstandthatIwillhavetocompleteacriminalbackgroundcheckanddrugscreenatmyownexpense,estimated to be $85.00 andprovideproof of health insurance if requestedbymy clinical site. I alsounderstandthatIwillberequiredtopayforliabilityinsurancethroughRichlandCollege,estimatedcost$11.70orless. Ialsounderstandthattheclinicalexternshipmustbepaidforasaclass. Thecostofexternshipisatotalof$315.00,plusthecostofLiabilityInsurance.Iunderstandthattheexternshipisnotwaived.

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***IunderstandthatifIam29yearsofageoryounger,Iamlegallyrequiredtosubmitproof(originaldocumentation)thatIhavereceivedtheBacterialMeningitisimmunizationpriortoregistrationintomyfirstclassorclasses.NewimmunizationsrequiredbytheStateofTexasalsoincludeInfluenza.

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I also understand that prior to the first clinical class that I will be required to (1) provide proof ofimmunization or serologic proof of immunity for Hepatitis B, Measles, Mumps, Rubella, Varicella(Chickenpox),andTetanus/Diptheria/Pertussisboosteratmyownexpense;(2)betestedforTBannually;and(3)haveacurrentCPRforHealthProfessionalscard.TheHepatitisBimmunizationseriescantake4to6monthsandmustbestartedatthebeginningoftheprogram,ifnotalreadycompleted. Applicant’sSignature Date

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Plan to Graduate

Program:CERTIFIEDMEDICALASSISTING

Name: StudentID# Date:

Semester1

#ofContactHours

SemestertobeCompleted

#ofContactHours Grade

MDCA1013 64 MedicalTerminology ___________ ________ _______

PBHL1001 16 MedicalLaw&Ethics ___________ ________ _______

MDCA1002 48 HumanDisease&Pathophysiology ___________ ________ _______

MDCA1021 64 MedicalOfficeProcedures ___________ ________ _______

Total 192 Total ________

Semester2

HITT1011 48 ComputerizedMedicalRecords ___________ ________ _______

MDCA1043 48 MedicalInsuranceCoding ___________ ________ _______

COMG1045 40 AdvancedCommunication ___________ ________ _______

HPRS2000 48 Pharmacology ___________ ________ _______

Total 184 Total ________

Semester3

MDCA1017 64 ProceduresinaClinicalSetting ___________ ________ _______

MDCA1052 64 MedicalAssistantLaboratoryProcedures ___________ ________ _______

MDCA2031 52 AdvancedMedicalAssistingTechnology ___________ ________ _______

Total 392 Total ________

Semester4

MDCA1054 32 CMAExamReview _________ ________ _______

MDCA1060 180 CertifiedMedicalAssistingClinicalExternship _________ ________ _______

Total ________

ProgramTotal 768 TotalEarned ________

AnticipatedGraduationDate