Clinical Forms
Once a student knows his/her clinical
assignment the student needs to print out the specific clinical
paperwork and bring all signed originals to the RT Office. All
paperwork is due immediately once the clinical assignment is final.
If your clinical site is not listed you will be doing the paperwork
at the facility with your clinical instructor.
Student is responsible for getting all paperwork completed and to
the RT Office. If paperwork is not in or before the the
first week of August 2012, student will not be eligible to go to
assigned clinical rotation as arranged.1. Alvarado
Hospital- All paperwork is to be turned in to RT office.
There are 3 forms for Alvarado that students need
to turn it as a complete package.
Also, the student must go to Hospital at
least 1 week prior to your 1st day to get your badge.
HR is across the street on Reservoir Drive first floor and is not
open on weekends.
HIPPA (Read
through, Print last page & sign)
Confidentiality Statement (add your name, print & sign)
Statement of Responsibility (add your name, print & sign)
2. Sharp Healthcare- All paperwork is to
be turned in to RT office. There are 5 forms for
Sharp that students need to turn it as a complete package.
Student Placement
Request (add your
name, print & sign)
Certificate of
Understanding (add
your name, print &
sign)
Confidentiality
Statement (add your
name, print & sign)
Student Compliance
Answer Sheet
Sharp
requires students to
review the next 4
PowerPoints and then take the test.
HIPAA
Community Privacy
Education (Print
page 45)
HIPPA Community
Privacy Education
Test
2011
Compliance
Information Security
2011: Compliance:
Information Security
Test
2011 Compliance
Code of Conduct/Ethics
2011: Compliance:
Code of Conduct Test
2011 Compliance
Safeguarding privacy
2011: Compliance:
Safeguarding Privacy
Test
Parking Directions -
All locations
( for your
information only)
3. VA Healthcare System - All paperwork is
to be turned in to RT office.
Link
http://www.sandiego.va.gov/staff/education/trainee/registration.asp
Do items 1-4 - Type all information (NO HANDWRITTING ON
PAPERS except
for signature) or sign and bring to office.
Declaration for Federal Employment OF 306
Application for Health Professions Trainees VA 10-2850d
EES Librix Online Learning Website:
https://www.ees-learning.net
(read and print 2 certificates,
sign and return)
VA National Rules of Behavior (NEW)
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 Grossmont College
8800 Grossmont College Drive
El Cajon, CA 92020
Counseling Office
(619)644-7208
Admissions & Records Office
(619)644-7186 Respiratory Therapy
(619) 644-7448
Email
Respiratory Therapy
Health Professions Home Page
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