Phlebotomy Requirements and Application

Phlebotomy Orientation - Spring 2022

Agenda
2021-22 Academic Calendar

• Curriculum Checklist
  • Curriculum Checklists are to be used as a guide. Although your academic advisor can provide guidance, you are ultimately responsible for selecting courses that meet a program's graduation requirements. 2021-22 Phlebotomy Curriculum Checklist
• Background Checks
  • The clinical agencies that host the Northwood Tech Phlebotomy students have significantly increased their demands for background check scrutiny over the past several years. Background checks will not be completed until 90 days prior to start of the of the program. If there are no clinical agencies that will accept the student based on the background check history, the student must be excused from the Phlebotomy program, regardless of the student's academic standing. This is explained in further detail in the Background Check Disclosure form listed above, under Admission Requirements.
  • All Phlebotomy students are required to complete a Wisconsin Caregiver Background Check
  • If you are required to have a National Criminal Background Check, Minnesota Caregiver Background Check or other states as applicable, your program instructor will advise you on the process.
• Health Form and Directions 
  • Health Form and Directions

    • 1. Complete the Health Form and save it.

    • 2. Follow instructions on the form for submission.

• Uniforms
  • Uniforms 

    • This link provides a list of websites and local uniform shops that sell uniforms. 

    • Find the Health Sciences Professional Expectations and Dress Code in the Health Sciences Student Policies (HS-24).

• Complete and Give to your Instructor
  • Functional Abilities Disclosure - listed above under Admission Requirements. Read the functions and initial/sign the last page as described. Submit to instructor by designated due date.
  • Confidentiality Statement
  • Acknowledgement of Risk Form

• Additional Information 

  • 2021-22 Phlebotomy Textlist
  • 2021-22 Phlebotomy Program Cost Sheet
  • Insurance Information
  • Phlebotomy Program Technology Needs
  • Student Biographical Change Request Please print and use this form if you change your name, address, or phone number(s). You should submit it to your local Student Services to be certain that the changes are entered in the main computer system.