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CLINICAL SITE INFORMATION FORM Date (12/11/07) I. Information About the Clinical Site Person Completing Questionnaire Laura Ferguson E-mail address of person completing questionnaire Laura. Ferguson
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How to fill out clinical site information form
How to Fill Out a Clinical Site Information Form:
01
Start by gathering all necessary information about the clinical site, such as its name, address, and contact details.
02
Provide details about the type of clinical site, whether it is a hospital, clinic, or research facility.
03
Indicate the specific department or unit within the clinical site where the activities will take place, such as the emergency department or the surgical ward.
04
Describe the purpose of the clinical site, whether it is for student training, research, or clinical trials.
05
Provide information about the supervising preceptor or faculty member who will be overseeing the activities at the clinical site.
06
Specify the duration of the clinical experience, including the start and end dates, as well as the number of hours or shifts per week.
07
Submit any additional documentation required by the educational institution or organization overseeing the clinical experience, such as background checks or immunization records.
08
Double-check all the information provided for accuracy and completeness before submitting the form.
09
Finally, submit the completed clinical site information form to the appropriate authority, such as the clinical coordinator or placement office.
Who Needs a Clinical Site Information Form?
01
Students pursuing health-related professions, such as nursing, medicine, or physical therapy, usually need to fill out a clinical site information form.
02
Educational institutions that require clinical placements or internships as part of their curriculum often use these forms to gather information about potential sites.
03
Clinical coordinators or placement offices within educational institutions use these forms to facilitate the placement process and ensure that students are placed in appropriate clinical settings.
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What is clinical site information form?
The clinical site information form is a document used to provide details about the location where clinical trials or research studies will be conducted.
Who is required to file clinical site information form?
Principal investigators or research coordinators are typically required to file the clinical site information form.
How to fill out clinical site information form?
The form must be completed with accurate details regarding the name, address, facilities, and resources available at the clinical site.
What is the purpose of clinical site information form?
The purpose of the clinical site information form is to ensure that the site meets the necessary requirements for conducting clinical trials or research studies.
What information must be reported on clinical site information form?
Details such as site name, address, contact information, facilities, resources, and relevant certifications must be reported on the form.
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