Course Amendment

NORTHEAST MEDICAL INSTITUTE

Course Amendment
Student Name:*
Date of Birth*

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Date
Telephone Number*
(203)-000-0000
Email*
Course Type*
Original Start Date*

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Date
Original Lab/Clinical End Date*

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Reason for Amendment *
I understand and acknowledge that Northeast Medical Institutes CNA graduation requirements require me to complete the entire online self paced course up to section 10. I will also need to complete the 5 days or 10 evenings of lab and 2 days or 4 evenings of clinical. Any day that I miss I will be charged a $25 reschedule fee per day. These fees must be paid upon approval of this amendment. If you miss any clinical days you must complete both 2 days or 4 evenings together. Students must complete these requirements set by Northeast Medical institute in order to graduate and pass all requirements listed in the School Catalog. They can not receive a certificate of completion until they complete these requirements.
Type Full Name
I understand and acknowledge that there are 30 venipuncture's and 10 capillary sticks required for Phlebotomy. For clinical each student MUST bring in at least one volunteer to meet the last portion of clinical and volunteer themself. If you must reschedule your scheduled clinical there will be a $25 a day rescheduling fee. These fees must be paid upon approval of this amendment Students must complete these requirements set by Northeast Medical institute in order to graduate and pass all requirements listed in the School Catalog. They can not receive a certificate of completion or the NHA credential until they complete these requirements.
Type Full Name
All payment obligations must be paid in FULL prior to approval of this amendment. All classes only can be rescheduled within 2 months of the original end date.
Excused Absences ( Documentation Required for No Reschedule Fee)

Court Order- 1 Day Max

Covid- 5 Days from date of testing ( With proof )

Other Medical Emergencies- Will be approved case by case situation

Students will need to make up their days within 2 months of the original end date or they will forfeit their spot.
Requesting Excused Absence

I am requesting an excused absence and will provide valid documentation below
Excused Absence Documentation

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NORTHEAST MEDICAL INSTITUTE