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This form is for ad hoc approval of a clinic as a setting for acquiring logbook cases for the American Board of Genetic Counseling. It is intended for students seeking clinical experience in non-affiliated
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How to fill out CLINICAL TRAINING SETTING INFORMATION AND AGREEMENT TO PROVIDE CLINICAL TRAINING

01
Begin by obtaining the CLINICAL TRAINING SETTING INFORMATION AND AGREEMENT TO PROVIDE CLINICAL TRAINING form.
02
Fill in the name and contact information of the training facility at the top of the form.
03
Provide details about the clinical training program, including its duration and objectives.
04
Specify the types of services that the training facility offers.
05
List the names and qualifications of the supervising clinicians who will oversee the training.
06
Include the number of trainees expected to participate and any specific requirements they need to meet.
07
Review the agreement terms, ensuring all parties understand the commitments involved.
08
Sign and date the form once all information has been accurately filled in.
09
Submit the completed form to the relevant agency or department for approval.

Who needs CLINICAL TRAINING SETTING INFORMATION AND AGREEMENT TO PROVIDE CLINICAL TRAINING?

01
Educational institutions that are sending students for clinical training.
02
Healthcare facilities that are hosting clinical training programs.
03
Clinical instructors and supervisors involved in training.
04
Regulatory bodies that require documentation for clinical training agreements.
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CLINICAL TRAINING SETTING INFORMATION AND AGREEMENT TO PROVIDE CLINICAL TRAINING is a document that outlines the terms and conditions under which clinical training will take place, detailing the responsibilities of both the educational institution and the clinical training site.
Typically, educational institutions that offer health-related programs are required to file this agreement when they seek to place students in clinical training settings.
To fill out the CLINICAL TRAINING SETTING INFORMATION AND AGREEMENT, one must provide accurate information about the training site, including contact details, the scope of the training program, and the agreement terms that outline each party's responsibilities.
The purpose of this agreement is to ensure that both the educational institution and the clinical training site have a clear understanding of their roles, obligations, and expectations regarding the clinical training experience for students.
The information that must be reported generally includes details about the clinical training site, program objectives, duration of training, supervision requirements, and compliance with applicable regulations and standards.
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