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Get the free ARC/STSA Clinical Affiliate Attestation Form - arcstsa

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ARC/SSA Clinical Affiliate Attestation Form Sponsoring Educational Institution School Program ID# Program Maximum Enrollment Capacity: # Students per Cohort # Cohorts per A 8/1/XX-7/31/XX # of cohorts
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How to fill out arcstsa clinical affiliate attestation

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01
To fill out the ARCSTSA clinical affiliate attestation, you will need to gather all the required information and documents beforehand. This includes details about the clinical affiliate, such as their name, address, and contact information.
02
Start by reading the attestation form thoroughly to understand the instructions and requirements. Make sure you have a clear understanding of what is being asked of you.
03
Fill out the form accurately, providing all the necessary information. This may include your personal details, such as your name, contact information, and the name of your educational program.
04
Ensure that you have obtained the signature of the appropriate individuals, such as your program administrator or supervisor. Their signature certifies that the information provided is true and accurate.
05
Along with the attestation form, you may need to submit additional documentation. This could include proof of liability insurance, educational program affiliation, and clinical site accreditation details. Make sure to attach all the required documents as stated in the attestation form.

Who needs ARCSTSA clinical affiliate attestation:

01
Individuals who are enrolled in a surgical technology program accredited by ARCSTSA may need to fill out the clinical affiliate attestation. It is essential for students to have proper clinical affiliations to gain hands-on experience and complete their education.
02
Surgical technology educational programs that require students to complete clinical rotations as part of their curriculum will also need this attestation. The program administrators are responsible for ensuring that the clinical sites meet certain standards and provide a suitable learning environment for the students.
03
Additionally, the attestation may also be required by the clinical affiliates themselves. They may need to complete and sign the attestation form to validate their affiliation with the educational program and acknowledge their commitment to providing quality training to the students.
Overall, anyone involved in a surgical technology program, including students, program administrators, and clinical affiliates, may need the ARCSTSA clinical affiliate attestation to verify and maintain their affiliations.
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The ARC/STSA Clinical Affiliate Attestation is a form used by clinical sites to confirm their affiliation with a surgical technology program accredited by ARC/STSA.
Clinical sites that are affiliated with a surgical technology program accredited by ARC/STSA are required to file the Clinical Affiliate Attestation.
The Clinical Affiliate Attestation can be filled out online through the ARC/STSA website or by submitting a physical form via mail.
The purpose of the Clinical Affiliate Attestation is to ensure that clinical sites maintain their affiliation with accredited surgical technology programs and uphold the standards set by ARC/STSA.
Clinical sites must report details such as the number of students placed at the site, the number of clinical hours completed by each student, and the qualifications of preceptors.
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