Medical Tech Skills Checklist

  • MM slash DD slash YYYY

  • 1 = No Experience
    2 = Need Supervision
    3 = Able to perform without Supervision
    4 = Able to perform Independently
    5 = Able to Supervise or Teach

    I hereby certify that the information provided in this checklist is true, to the best of my knowledge, and authorize the release of this document.

  • Blood Bank

  • Urinalysis

  • Hematology

  • Chemistry

  • Serology / Immunology

  • Phlebotomy

  • Microbiology / Virology

  • RIA