Health Screen Registration Form

​​Health screenings will be offered at all DMACC campuses.

At DMACC we understand the importance of knowing your health numbers, and want to offer all regular employees an opportunity to learn them. This spring, Boone County Hospital Laboratory will be traveling to Ankeny, Carroll, Urban to provide an on-site health screening for regular employees. Skiff Medical Center Laborartory will be working with Newton. DMACC employees can travel to any campus hosting a health screen if they are closer or at that campus for the day. Here are the details:

Screenings will be offered at the following dates and time:

  • Ankeny Campus: April 19, 7:00-9:30 AM in Building 24 Room 115-117
  • Carroll Campus: April 23, 7:30-8:30 AM in Conference Room 104
  • Newton Campus: April 3rd, 8:00-9:30 AM in Room 113. Contact Julie Van Cleave at 641-791-1720 or javancleave@dmacc.edu to register
  • Urban Campus: Health Screening for Urban, West, Southridge, and other DMACC employees will be on Wednesday, April 11th from 7 AM to 9 AM in Bldg. #1 Rm. 112.
  • Boone Campus will have its own health screening this Fall

Screenings Include:

  • Participants will receive a venous blood draw from the arm by Boone County Hospital/Skiff Medical Center Laborartory ​Lab phlebotomist. Phlebotomists are highly trained to perform this screening.
  • Participants will receive the following labs: glucose, total cholesterol, HDL cholesterol, and ​LDL cholesterol​. (More Information)
  • Participants must be fasting (no food or drink except water) for 8-12 hours.

DMACC will cover the cost of the screening for Benefitted Employees. (Men ages 50-75can choose to also complete a PSA test for an additional $25.)

Payment Information:

  • Employees with Benefits - your basic panel will be paid for by DMACC.
    PSA - $25 for eligible males at Ankeny, Carroll, Newton and Urban made payable to DMACC the day of the draw.
  • Temporary (1000 hour) Employees - responsible for paying for your blood panel cost the day of the draw. Made payable to DMACC the day of the draw.
    • Ankeny, Carroll and Urban Campuses: $15
    • Newton Campus: $15
    • PSA: $25 for eligible males at Ankeny, Carroll, Newton​, and Urban.
  • Adjuncts - responsible for paying for you blood panel cost the day of the draw. Made payable to DMACC the day of the draw.
    • Ankeny, Carroll and Urban Campuses: $15
    • Newton Campus: $15
    • PSA: $25 for eligible males at Ankeny, Carroll, Newton​, and Urban.​

Please complete the form below to register for your health screening.

Note: If you are not able to select a time slot, it is full--select a different time.

If you do not see the information below, please Sign In with your DMACC login credentials to access it.