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Allied Health

Allied Health : Nurse Assistant & Home Health Aide : Enrollment Forms

Enrollment Forms

Attention CNA/HHA Students

Starting July 2017, you may be eligible to receive reimbursement up to $215 (up to $245 starting June 2018) toward your drug testing, malpractice insurance, certification exam, and CPR certification fees after you successfully complete the California Department of Public Health (CDPH) examination (subject to verification; original receipts are required).  The funds are provided by the Dorothy Rupe Caregiver Program at the Arthur N. Rupe foundation. Please download the REIMBURSEMENT FORM [click here to download] and submit to our office no later than four weeks after the state exam.


*Required Documents to Enroll in Nursing 399AB+056:     
[Enrollment is first-come, first-served!]

  1. Must be officially admitted to Los Angeles Mission College. Must have valid LACCD/LAMC Student ID#.
  2. Must be able to log into LACCD/LAMC SIS (student portal). Click [Register For Classes] button above and log in.
  3. Applicant must be able to attend all dates listed on the [WEEKLY SCHEDULE].
  4. STRONG RECOMMENDATION:  Applicant to attend the MANDATORY ORIENTATION prior to application submittal. 
  5. Must submit NATP-HHP Application (must be complete):
  6. Health Record portion of the application (see #5, above) must be completed prior to the start of the program and signed by a Physician, Nurse Practitioner, or Physician Assistant, specifying that you can participate in the classroom and clinical internship portions of the program without any limitations. Health Record must include the following (provide two (2) copies of each documentation listed)
    • Physical Examination - must be completed within 90 DAYS prior to the start of the program. See Suggested Locations below.
    • Proof of Absence of Tuberculosis - negative skin test (within 60 DAYS prior to the start of program) -OR- negative chest x-ray (within 2 years prior to the start of program)
    • Immunization Record or Titer Test Result of:
      • Hepatitis B
      • MMR:  • Measles,  • Mumps,  • Rubella 
      • Polio (required by nursing homes)
      • Tetanus (within 10 years) 
      • Varicella (Chicken pox)
    • Drug Screen Test Results (urine drug screen test, 8 panels, negative result per panel, within 90 DAYS prior to the start of program)Lab Results must be included. See Suggested Locations below.
    • Flu Vaccination STRONGLY RECOMMENDED.  If flu vaccination is not obtained, student must submit Declination Form and wear a mask during clinical portion of the training.
  7. Two (2) copies of Malpractice "Certificate of Insurance" documentation with policies listed (District requires $1,000,000 single occurrence & $3,000,000 Aggregate)
  8. Two (2) copies of Cardiopulmonary Resuscitation (CPR)  American Heart Association Basic Life Support for Health Care Providers (BLS Provider) Card valid through the duration of the program. Please do one of the following:
  9. One (1) original + three (3) copies of the following (must be typed & complete)
  10. One (1) original + one (1) copy of the following (must be typed & complete):​ 
  11. One (1) original Live Scan application form (must be typed & completed as instructed ->click here for instructions).  Contact Aracely Molina <molinaa2@lamission.edu> for Live Scan Vendor information & instructions.
  12. Valid Photo Identification & Social Security Number
    • Acceptable Photo IDs: Valid, Non-Expired  state or federal--e.g. driver's license, ID card, passport with photo (any country), alien registration (green card), or military ID. 
    • Social Security Number. Note: Students with no social security number may contact CDPH Aide and Technician Certification Section at (916) 327-2445 for specific information.
    • For CNA resources from CDPH, [click here].  For HHA resources from CDPH, [click here].
  13. One (1) original + one (1) copy of the last page from:
  14. ​​​When you have completed Steps #1-13 above, contact Aracely Molina, CNA Faculty & Program Director *on E-MAIL* (see below), and request to schedule appointment for CNA-HHA Application Review.
 
STRONG RECOMMENDATION:  Completion of all four Health Occupations courses (HlthOcc 062, 063, 064, & 065) is strongly recommended but not required for eligibility to enroll and participate in Nurse Assistant & Home Health Aide courses (Nursing 399A, 056, & 399B).
Note:  Completion of all four Health Occupations courses and 0.5 unit Allied Health 021 course is required for eligibility to petition for LAMC Certificate.
For Academic Guidance, contact *Recommended Counselors* and review the LAMC 2019-2020 Catalog page 152 (NATP-HHP) and pages 127-128 (HlthOcc).

*Keep all your receipts to apply for reimbursement.  Los Angeles Mission College was awarded a grant (starting 2017/2018/2019/2020) from the Arthur Rupe Foundation to support students enrolled in the CNA/HHA Training Program.

To review the qualified expenses and apply for reimbursement please review the APPLICATION FORM

If you have all the required documents and would like to apply for reimbursement, please send an e-mail to <alliedhealth@lamission.edu> with "Arthur Rupe" in the subject line and let us know when you would be available to submit your completed Arthur Rupe Reimbursement Application Form and the supporting documentation required.
 

Suggested Locations [Physical, Drug Testing, Etc.]:

  • LAMC Student Health Center: http://www.lamission.edu/healthcenter/ - Please contact them for more information and making appointments!   [Physical, Drug Testing, Etc.]
  • WellnessMart: http://wellnessmart.com/ - Contact them for details!   [Physical, Drug Testing, Etc.]
  • Foundation Laboratory: http://foundationlaboratory.com/services.html   [Drug Testing]​
    • Foundation Laboratory (Northridge - PSC 135)
      • 17075 Devonshire Blvd. #104 Northridge, CA 91325
      • Phone: (818) 360-7200
      • M-F: 8:00 AM to 4:30 PM.  Sat: Closed.  Lunch: 12:30 to 1:00 PM.
    • Foundation Laboratory (Northridge - PSC 136)
      • 18251 Roscoe Blvd. Northridge, CA 91324
      • Phone: (818) 341-1405
      • M-F: 8:30 AM to 5:00 PM.  Sat: Closed.  Lunch: 1:00 to 2:00 PM.
  • Express Collections   [Drug Testing]​


Must Bring During the First Week of Class:          [View Weekly Schedule]

  • Valid Photo Identification & Social Security Number
    • Acceptable Photo IDs: Valid, Non-Expired  state or federal--e.g. driver's license, ID card, passport with photo (any country), alien registration (green card), or military ID. 
    • Social Security Number. Note: Students with no social security number may contact CDPH Aide and Technician Certification Section at (916) 327-2445 for specific information.
 

For CNA resources from CDPH,
[click here].

For HHA resources from CDPH,
[click here].

 

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Allied Health Office

Instructional Center (INST) 2015

818-833-3428 (Voicemail ONLY. Please send an e-mail.)

AlliedHealth@lamission.edu


Crescentia Muljawan
Senior Office Assistant
muljawc@lamission.edu
818-833-3428
Instructional Bldg. Room 2015

Aracely Molina
CNA/HHA Program Director
molinaa2@lamission.edu - 818 833-3436
Instructional Bldg. - Faculty Office #13  (1st floor)
www.lamission.edu/~molinaa2

Par Mohammadian, RPh, PhD
Vice Chair of Life Sciences Department
mohammp@lamission.edu - 818 833-3424
Center for Math & Sciences - CMS 221 (Rm. 238)
www.lamission.edu/~mohammp

Dr. Stephen T. Brown
Chair of Life Sciences Department
brownst@lamission.edu - 818 364-7665
Center for Math & Sciences - CMS 227
www.lamission.edu/~brownst