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CLINICAL×PRACTICUM AFFILIATION AGREEMENT BETWEEN THE TENNESSEE BOARD OF REGENTS (TAR×, on behalf of its 6 universities as listed below AUSTIN PLAY STATE UNIVERSITY EAST TENNESSEE STATE UNIVERSITY
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How to fill out clinical affiliation agreement between

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How to fill out a clinical affiliation agreement between:

01
Start by reviewing the agreement: Read through the entire clinical affiliation agreement to understand its terms, conditions, and requirements.
02
Gather necessary information: Collect all the required information and documentation needed to complete the affiliation agreement. This may include details about the educational institution, the healthcare facility, and the individuals involved.
03
Fill in the identification details: Provide the names, addresses, and contact information for both the educational institution and the healthcare facility.
04
Specify the objectives and scope: Clearly state the purpose and goals of the clinical affiliation agreement. Define the scope of the collaboration, including the duration, specific programs or departments involved, and any specific learning outcomes.
05
Outline the responsibilities of the parties: Define the responsibilities and obligations of both the educational institution and the healthcare facility. This may include items such as the provision of appropriate supervision, access to facilities and resources, and requirements for maintaining compliance with relevant regulations.
06
Incorporate liability and insurance provisions: Address the issue of liability and insurance coverage. Specify the responsibilities of each party in terms of maintaining appropriate insurance and indemnification agreements to protect against potential risks or damages during the clinical affiliation.
07
Define the dispute resolution process: Include a section outlining the procedures for resolving any disputes or disagreements that may arise during the clinical affiliation. This may involve mediation, arbitration, or other conflict resolution methods.
08
Include any necessary attachments or appendices: Attach any additional documentation that may be required, such as proof of insurance, accreditation certificates, or program-specific requirements.
09
Review and sign the agreement: Thoroughly review the completed clinical affiliation agreement with all relevant parties, including legal counsel if necessary. Once everyone is satisfied with the terms, sign the agreement to make it legally binding.

Who needs a clinical affiliation agreement between:

01
Educational institutions: Universities, colleges, or other educational institutions that offer healthcare-related programs, such as nursing or medical schools, may need clinical affiliation agreements. These agreements formalize the relationship between the educational institution and the healthcare facility where students will gain practical experience.
02
Healthcare facilities: Hospitals, clinics, or other healthcare facilities that provide training opportunities for students in healthcare-related programs may require clinical affiliation agreements. These agreements ensure that the educational institution and the healthcare facility are aligned in terms of expectations, responsibilities, and liability.
03
Students: Students pursuing healthcare-related programs, such as nursing or medical degrees, may indirectly benefit from clinical affiliation agreements. These agreements ensure that appropriate learning experiences are provided within the healthcare setting and that the rights and responsibilities of all parties involved are clearly defined.
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