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Form No. OGCS200907 HEALTH OCCUPATIONS AFFILIATION AGREEMENT This agreement is entered into by and between the Lone Star College (LSC), which is a Texas Community College District established pursuant
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How to fill out health occupations affiliation agreement

01
Step 1: Review the health occupations affiliation agreement form
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Step 2: Fill in the required contact information, such as name, address, and phone number
03
Step 3: Identify the relevant health occupation program and provide program details
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Step 4: Specify the duration of the agreement, including the start and end dates
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Step 5: Outline the responsibilities and obligations of both parties involved
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Step 6: Include any necessary insurance requirements or liability provisions
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Step 7: Sign and date the agreement, ensuring all necessary parties have done so
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Step 8: Keep a copy of the completed agreement for your records
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Step 9: Submit the agreement to the appropriate authority or organization

Who needs health occupations affiliation agreement?

01
Healthcare institutions
02
Educational institutions with health occupation programs
03
Healthcare students participating in clinical rotations or externships
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Healthcare professionals seeking affiliation with a specific organization
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Health occupations affiliation agreement is a contract between a health care facility and an educational institution outlining the terms of a student's clinical training.
Both the health care facility and the educational institution are required to file a health occupations affiliation agreement.
The health occupations affiliation agreement should be filled out with details of the student, clinical training program, terms of agreement, and signatures of both parties.
The purpose of health occupations affiliation agreement is to ensure the safety, supervision, and quality of clinical training for students in healthcare professions.
The health occupations affiliation agreement should include details of the student's name, contact information, clinical training program, duration, responsibilities, and signatures.
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