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CLINICAL EXPERIENCE AFFILIATION AGREEMENT This Agreement is made by and between East Tennessee State University, hereinafter referred to as “Institution and, hereinafter referred to as “Affiliate
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How to fill out clinical affiliation agreement

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How to fill out clinical affiliation agreement

01
Obtain a copy of the clinical affiliation agreement template from your institution or the organization you will be affiliated with.
02
Review the agreement thoroughly to understand the terms and conditions outlined.
03
Fill in the necessary information such as your name, contact details, and the name of your institution.
04
Follow any specific instructions provided in the agreement for inputting information related to the clinical site or facility.
05
Pay attention to sections that require signatures or additional documentation. Ensure that all required documents are attached and signed.
06
Review the agreement once again to ensure all information is accurate and complete.
07
Submit the filled-out agreement to the appropriate authority or department as instructed.
08
Keep a copy of the completed agreement for your records.

Who needs clinical affiliation agreement?

01
Clinical affiliation agreements are typically required for students, interns, residents, and trainees who will be participating in clinical rotations or hands-on training at healthcare facilities.
02
In addition to individual students, academic institutions, healthcare organizations, and the facilities providing the clinical experiences may also need to have a clinical affiliation agreement in place.
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A clinical affiliation agreement is a formal contract between a health care provider and an educational institution that establishes a partnership for the purpose of providing clinical training to students.
Typically, educational institutions that place students in clinical settings for training, as well as health care providers hosting those students, are required to file a clinical affiliation agreement.
To fill out a clinical affiliation agreement, parties must provide relevant information such as names and addresses, terms of the partnership, responsibilities, and liability clauses. It is often recommended to consult legal counsel to ensure compliance with industry regulations.
The purpose of a clinical affiliation agreement is to outline the expectations, responsibilities, and liabilities of both the educational institution and the health care provider in providing clinical training to students.
Information that must be reported includes the names of the parties involved, the duration of the agreement, the scope of clinical training, liability coverage, and any specific obligations of each party.
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