Document Centre
Congratulations on being accepted into the premier Medical Technology Program at Armstrong Atlantic State University. This website has been deigned to facilitate your admission to the program and to provide you with the necessary forms. Please download the applicable forms, complete and return by the deadline given in your Post-Acceptance email.
On Campus Students
MLT Online Students
SCHA Students

Document Links

Annual Physical Form
Required
Required
Required
Annual Physical Form
Explanation: All students are required to have a physical exam performed by a qualified medical provider prior to enrollment in the program. The physical exam is considered good for one year.

Failure to maintain a current physical exam is grounds for suspension or dismissal from the program.

In order to meet the technical (physical) requirements for the program and practice in the profession, students accepted into the program should consider also having a complete eye examination to include color discrimination.

University System of Georgia Immunization Form
Fill out Completely and attach documentation
Fill in top portion and check Exemption #2 at bottom
Fill in top portion and check Exemption #2 at bottom
University System of Georgia Immunization Form
Explanation:

All students must provide documentation/certification of immunization and screening for the following:

1. Tetanus
2. Rubella
3. Chickenpox
4. Hepatitis B

Hepatitis B Declaration Form
Required
Required
Required
Hepatitis B Declaration Form
Explanation:

The National Centers for Disease Control (CDC) and the federal Occupational Safety Hazards Administration (OSHA) recommend that all health care workers who might be exposed to blood or blood products in an occupational or educational setting should receive the Hepatitis B vaccine, preferably before exposures could occur.

Thus, all students are strongly encouraged to obtain the vaccination. The vaccination is a three shot regime over a period of 6 months (initial, one month, six month). Thus, one should plan well ahead to have the vaccination completed before enrollment in the program. Check with your local physician and /or health department about the availability of the vaccine.

All students accepted into a Armstrong health professions program must complete the enclosed Hepatitis B Declaration Form. There are three options for signature. Please sign and date only one of the three options and return to Medical Technology Dept.

Read all options and pick one to sign and date

TB Screening Form
Required
Required
Required
TB Screening Form
Explanation: The Medical Technology Department of Armstrong Atlantic State University requires screening for tuberculosis and follow-up for reactions >10mm of all students in program. Requirements are based on current recommendations of the Centers for Disease Control and Prevention (CDC) for health care workers. Pregnancy does not exclude students from annual TB screening.

Screening for Entering First Year Students


All incoming Medical Technology students will be required to be screened for tuberculosis (TB). Screening for students is the following:

A single Mantoux (PPD) skin test will be administered. The Mantoux skin test must be read and recorded by a licensed healthcare provider within 48-72 hours prior to student attending school.

A history of Bacillus of Calmette and Guerin (BCG) is not grounds for waiving screening.

A reaction >10mm will be considered positive.

Students who have documented prior history of a positive TB skin test or who test positive (? 10mm) in their initial TB screening must provide documentation ruling out active disease.

If student cannot provide documentation of chest radiograph within past year, one must be obtained. If student can provide documentation of radiograph within past year, student does not need to repeat radiograph. Student must have licensed healthcare provider fill out TB Screening Questionnaire (attached) and return it to the Medical Technology program. If information obtained in the questionnaire reveals symptoms suggestive of TB, the student must undergo a medical evaluation including a chest radiograph and follow up treatment as indicated. Students with positive skin tests will be required to be screened annually using the TB questionnaire.

Malpractice Liability Insurance
Required
Required
Required
Malpractice Liability Insurance
Explanation: Medical Liability Insurance is required for all students enrolled in the program. Coverage is provided through Armstrong. Call Student Accounts at 912-344-3243 and ask to pay online. Receipt must be sent to Medical Technology Dept.
Health Insurance Waiver
Required
Required
Required
Health Insurance Waiver
Explanation: The University System of Georgia requires that students have in-force health insurance. The University System of Georgia uses Pearce and Pearce, Inc. for it's student health policy. Students with existing coverage must obtain an insurance waiver from Pearce and Pearce by going to their website www.studentinsurance.com and giving your current insurance information. Pearce and Pearce will email back that they have received your information. You will receive a second email within 2-4 days stating that your information has been verified and approved. This email must be forwarded to the Medical Technology Department at medtech@armstrong.edu. If your waiver is declined there will be a reason given. If you disagree with this decision, call the Customer Service Line to speak with a representative. (1-888-622-6001. If your insurance was declined because of an error on your part, (such as wrong policy number, etc), just email Pearce and Pearce with the correct information to resolve the problem.
Criminal Background Check Form
Reburied
Required
Required
Criminal Background Check Form
Hospital Statement of Support Form
Not Required
Required
Not Required
Hospital's Statement of Support
Explanation: Hospital's Statement of Support for student's academic endeavors.
Service Cancellable Loan Application
Georgia Residents Only Georgia Residents Only Georgia Residents Only
2008-2009 Application Form
Explanation:

The Georgia Student Finance Authority (GSFA) offers the Service-Cancelable Stafford Loan (a Federal Stafford loan with a service cancellation option) if you are enrolled in a "critical field of study." These fields of study lead to employment in occupations in which Georgia does not have enough trained professionals.

Service Cancellable Loan Information Link

South Carolina Residency Form (Academic Common Market Waiver)
Only if applicable
Only if applicable
Required
S. Carolina Residency Form for Common Market Waiver (If applicable)
Explanation: Only for South Carolina Students wishing to be awarded In-State Tuition Status
Senior Year Documents
On Campus Students

MLT Online Students

SCHA Students

Senior Year Document Links

Annual Physical Form
Required
Not Required
Not Required
Annual Physical Exam
Explanation: All students are required to have a physical exam performed by a qualified medical provider prior to enrollment in the program. The physical exam is considered good for one year.

Failure to maintain a current physical exam is grounds for suspension or dismissal from the program.

In order to meet the technical (physical) requirements (see attached) for the program and practice in the profession, students accepted into the program should consider also having a complete eye examination to include color discrimination.

PPD Screening Form
Required
Not Required
Not Required
PPD Screening Form
Explanation: Annual Screening for Second Year Students

Students who have no prior history of a positive (>10mm) tuberculin skin test should be screened annually with a PPD.

Student with positive skin tests are required to have licensed healthcare provider fill out TB Screening Questionnaire annually.

No student will be permitted to participate in Clinical Rotations until screening and follow up requirements have been met.

Malpractice Liability Insurance Form

Required
Not Required
Not Required
Malpractice Liability Insurance
Explanation: Fee for Medical Liability Insurance through Armstrong. Receipt must be sent to Medical Technology Dept. Call Student Accounts at 912-921-3771 and ask to pay online.
Health Insurance Waiver
Required
Required
Required
Health Insurance Waiver
Explanation: The University System of Georgia requires that students have in-force health insurance. The University System of Georgia uses Pearce and Pearce, Inc. for it's student health policy. Students with existing coverage must obtain an insurance waiver from Pearce and Pearce by going to their website www.studentinsurance.com and giving your current insurance information. Pearce and Pearce will email back that they have received your information. You will receive a second email within 2-4 days stating that your information has been verified and approved. This email must be forwarded to the Medical Technology Department at medtech@armstrong.edu. If your waiver is declined there will be a reason given. If you disagree with this decision, call the Customer Service Line to speak with a representative. (1-888-622-6001. If your insurance was declined because of an error on your part, (such as wrong policy number, etc), just email Pearce and Pearce with the correct information to resolve the problem.