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These forms are also in the
printed Clinical Year Manual.
To download pdf documents,
you must have Adobe Acrobat Reader on your computer. Click on the yellow
logo and follow the directions to get the Acrobat program free.
Link to Blackboard
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FORMS
This page has links to all
of the forms used
during the Clinical Year.
STUDENTS
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PRECEPTORS
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FACULTY
STUDENTS
Fill out and submit
on
the Web — They go directly from the Web into Barb Williams's or
Susan Wise's e-mail.
Typhon Patient Encounter Data Entry
— Up to date by the end of each rotation
Forms Specific
to Community Medicine
Rotation: (These forms are also on
Blackboard.) Print out and bring in
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Carilion
Employee Event Form —
Use this form if you need to
report an accident, exposure to hazardous substance, or communicable disease.
It's in
pdf format:
Print and fill out on paper. |
PRECEPTORS
These documents are in
Microsoft Word format. You may download and print them to
give to your
preceptor to fill in; then mail or fax them or bring them into the PA
office.
FACULTY
These forms are included
to make the student aware of the criteria that the PA faculty use
in evaluating the student's work. The forms are either in MS Word or
Acrobat.pdf.
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Jefferson College of Health
Sciences