The Clinical coordinator at the school must complete a student clinical request form and email it to [email protected] 8 weeks prior to the requested dates of clinical. Please indicate on the form whether the student will need access to charts.
Any student clinical request received less than 8 weeks prior to the start date will result in a delay.
For programs that have a cohort of more than six students listed on the student clinical request form CHI St. Vincent will perform an immunization audit. The Clinical Student Manager will email an audit form to the school. The form is expected to be completed and returned to the Clinical Student Manager in 24-48 hours. The date and time will be noted on the email sent to the school.
***All coordinators are responsible for making sure that their group has all paperwork prior to spreadsheet submission, A clear copy of each students Care Learning Transcript, Exhibit A&B, & the confidentiality and acceptable use requirements form are all required at the time of spreadsheet submission***
Files to download and/or fill out online:
- St Vincent System Clinical Request Form (Excel)
- Student Immunizations (Excel)
- Confidentiality and Acceptable Use Requirements