Get the free Agreement for Use of Facilities for Clinical Experience - sfdph
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This document outlines the agreement between the San Francisco Department of Public Health and a school for the use of clinical facilities to provide clinical experience for students, detailing responsibilities,
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How to fill out Agreement for Use of Facilities for Clinical Experience
01
Read the instructions carefully provided with the Agreement for Use of Facilities for Clinical Experience.
02
Fill in the name of your institution or organization at the top of the agreement.
03
Provide your contact information, including email and phone number.
04
Specify the dates during which the clinical experience will take place.
05
List the facilities you wish to use along with their addresses.
06
Include the names of the participants involved in the clinical experience.
07
Describe the purpose of the clinical experience in detail.
08
Sign and date the agreement at the designated section.
09
Submit the completed agreement to the relevant administrative office for approval.
Who needs Agreement for Use of Facilities for Clinical Experience?
01
Students participating in clinical experiences or internships.
02
Educational institutions coordinating clinical placements.
03
Healthcare facilities providing clinical experience opportunities.
04
Instructors or faculty members overseeing clinical experiences.
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What is Agreement for Use of Facilities for Clinical Experience?
The Agreement for Use of Facilities for Clinical Experience is a formal document that outlines the terms and conditions for using a facility for clinical training and experiential learning by students in health-related programs.
Who is required to file Agreement for Use of Facilities for Clinical Experience?
Health education programs and their affiliated clinical training organizations are required to file the Agreement for Use of Facilities for Clinical Experience to ensure compliance with training standards and regulations.
How to fill out Agreement for Use of Facilities for Clinical Experience?
To fill out the Agreement for Use of Facilities for Clinical Experience, complete sections that specify the details of the facility, the scope of allowed clinical activities, responsibilities of both parties, duration of the agreement, and any specific terms or conditions.
What is the purpose of Agreement for Use of Facilities for Clinical Experience?
The purpose of the Agreement for Use of Facilities for Clinical Experience is to establish a clear understanding between educational institutions and facilities regarding the use of resources for student training, ensuring quality education and safety during clinical experiences.
What information must be reported on Agreement for Use of Facilities for Clinical Experience?
The Agreement for Use of Facilities for Clinical Experience must report information such as the names of the participating institutions, location of the facility, details of the clinical experience, duration of the agreement, and any specific requirements or obligations of each party.
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