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STUDENT AGREEMENT This Student Agreement (the Agreement) is effective the day of, 20, between GOOD SAMARITAN HOSPITAL OF SUFFER, N.Y. (Facility) and (Student), a student currently enrolled at (the
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01
To fill out clinical affiliation as a student, follow these steps:
02
Contact your school's clinical coordinator or administration to obtain the necessary forms and information for clinical affiliation.
03
Review the requirements and guidelines provided by your school or educational institution.
04
Ensure you have all the required documentation, such as health clearance forms, immunization records, and liability insurance.
05
Fill out the clinical affiliation forms accurately and completely, providing all the required information.
06
Submit the filled-out forms to your school's clinical coordinator or administration within the specified deadline.
07
Wait for confirmation from your school regarding the approval of your clinical affiliation.
08
Once approved, follow any additional instructions or guidelines provided by your school to initiate your clinical placement.
09
Attend all mandatory orientations or trainings before starting your clinical rotations.
10
Fulfill all the responsibilities and requirements outlined in your clinical affiliation agreement, maintaining professionalism and adhering to the policies and procedures of the clinical setting.
11
Keep track of your clinical hours, document your experiences, and comply with any reporting or evaluation requirements throughout the duration of your clinical affiliation.
12
Seek guidance from your school's clinical coordinator or preceptor if you encounter any challenges or have any questions during your clinical affiliation.
13
Complete all necessary evaluations, paperwork, or assessments at the end of your clinical affiliation.
14
Maintain open communication with your school and clinical site, reporting any concerns, issues, or changes in your schedule or circumstances.
15
Follow all ethical and legal standards while participating in your clinical affiliation as a student.

Who needs clinical affiliation - student?

01
Students in healthcare-related fields who require hands-on clinical experience as part of their educational curriculum need clinical affiliation.
02
This includes but is not limited to:
03
- Medical students
04
- Nursing students
05
- Dental students
06
- Pharmacy students
07
- Physical therapy students
08
- Occupational therapy students
09
- Radiology students
10
- Respiratory therapy students
11
- Medical laboratory science students
12
Clinical affiliation allows students to apply their theoretical knowledge in real-life healthcare settings under the supervision of experienced professionals.
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Clinical affiliation - student is a partnership between a college or university and a healthcare facility where students gain practical experience in their field of study.
Students who are enrolled in healthcare programs that require clinical experience are required to file for clinical affiliation.
Students must complete the required paperwork provided by their college or university, submit necessary documentation, and meet any deadlines set by their institution.
The purpose of clinical affiliation - student is to provide hands-on training and real-world experience to students in healthcare programs.
Students must report their contact information, program of study, details of the clinical site, and any required documentation or certifications.
The penalty for late filing of clinical affiliation - student may result in a delay or inability to participate in clinical experiences, which may impact the student's academic progress.
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