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CLINICAL SITE INFORMATION From Our company has numerous locations across several states. Please refer to www.resultsphysiotherapy.com for most updated list. Ashlee Butler is the CCC for all clinics.
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How to fill out clinical site information form

How to fill out a clinical site information form:
01
Provide the name and contact information of the clinical site: Start by entering the name of the clinical site and their contact details, such as phone number, email address, and physical address. This will ensure that the correct site is identified.
02
Specify the type of clinical site: Indicate whether the site is a hospital, clinic, research institute, or any other type of healthcare facility. This information helps categorize the site appropriately.
03
Provide details about the site's accreditation and affiliations: If the clinical site is affiliated with any educational institutions or holds specific accreditations, make sure to include this information. It helps establish the credibility and relevance of the site.
04
Outline the services provided at the clinical site: Describe the range of services offered at the site, such as primary care, specialized treatments, surgeries, diagnostic procedures, or any other relevant services. This gives an overview of what the site has to offer.
05
Include information about the site's infrastructure and facilities: Mention the available resources, facilities, and equipment at the clinical site. This may include information about the number of patient beds, laboratory facilities, radiology services, and any specialized areas or departments.
06
Describe the patient population served by the clinical site: Identify the demographics of the patient population that the site caters to. This may include age groups, specific medical conditions, or any other relevant information. It helps in matching clinical experiences with appropriate patients.
07
Provide information about the site's supervisors or preceptors: List the names and contact details of the supervisors or preceptors who oversee the clinical experiences at the site. This allows the coordinating institution to establish communication channels for evaluations or inquiries.
08
Indicate any specific requirements or prerequisites for students: If there are any specific prerequisites or requirements for students to be placed at the clinical site, mention them clearly. This may include prior training, immunizations, background checks, or any other criteria that need to be met.
Who needs the clinical site information form:
01
Students in health-related programs: Students pursuing degrees or certifications in health-related fields, such as medicine, nursing, pharmacy, or medical technology, usually need to fill out the clinical site information form. It helps ensure proper placement for their clinical experiences.
02
Educational institutions: Schools or colleges offering health-related programs require the information form to effectively coordinate student placements at appropriate clinical sites. It allows them to match students' learning objectives with the available opportunities.
03
Clinical site administrators: Administrators at the clinical sites themselves may require the information form to gather relevant details about their institution and assess the suitability of hosting students for clinical rotations or internships.
In conclusion, filling out a clinical site information form involves providing details about the site, its services, infrastructure, patient population, supervisors, and any specific requirements. The form is typically required by students, educational institutions, and clinical site administrators.
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What is clinical site information form?
The clinical site information form is a document that provides details about the location where a clinical trial will be conducted, including address, contact information, facilities available, and any special requirements.
Who is required to file clinical site information form?
The principal investigator or the sponsor of the clinical trial is usually responsible for filing the clinical site information form.
How to fill out clinical site information form?
The form can be filled out online or in paper format, and typically requires information such as site name, address, contact person, facilities, and any specific requirements.
What is the purpose of clinical site information form?
The purpose of the form is to provide necessary information about the clinical trial site to ensure a safe and effective conduct of the trial.
What information must be reported on clinical site information form?
The form typically asks for details about the site's location, facilities, contact information, any certifications or accreditations, and any special requirements for the trial.
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