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Instructions for Completing Required Documentation for Clinical Rotations Welcome to The Hospitals of Providence. An active Affiliation Agreement is required in order to complete any clinical rotations

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How to fill out clinical affiliation agreement template

01

Review the clinical affiliation agreement template to understand the requirements and expectations.

02

Fill in all the necessary information such as names of parties involved, dates, and specific details of the agreement.

03

Make sure to include any relevant clauses or provisions that are required for the specific clinical affiliation arrangement.

04

Have all parties involved review and sign the agreement to ensure mutual understanding and agreement.

05

Keep a copy of the completed and signed agreement for your records.

Who needs clinical affiliation agreement template?

01

Healthcare facilities that are hosting students for clinical rotations.

02

Educational institutions that are sending students to healthcare facilities for clinical experience.

03

Students who are participating in clinical rotations or internships at healthcare facilities.

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What is clinical affiliation agreement template?

A clinical affiliation agreement template is a standardized document used to outline the terms and conditions of the partnership between healthcare facilities and educational institutions for clinical training purposes.

Who is required to file clinical affiliation agreement template?

Typically, educational institutions offering training programs in health-related fields and healthcare facilities hosting students for clinical rotations are required to file a clinical affiliation agreement.

How to fill out clinical affiliation agreement template?

To fill out a clinical affiliation agreement template, one should include details such as the names of the parties involved, the scope of the clinical training, duration of the agreement, responsibilities of each party, and any relevant legal or compliance requirements.

What is the purpose of clinical affiliation agreement template?

The purpose of a clinical affiliation agreement template is to establish a formalized partnership that ensures clear roles, responsibilities, and expectations for both educational institutions and healthcare facilities during student training.

What information must be reported on clinical affiliation agreement template?

Information that must be reported includes the names of the institutions, the terms of the agreement, the nature and duration of the clinical experience, responsibilities of each party, and any stipulations regarding liability and insurance.

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