Click the links below to download the Cleveland Clinic forms.
Faculty Update Spring 2010
Affiliating Letter for Onboard Process
Faculty Orientation Requirements
Security Process (ID Badges - Parking - Fingerprinting)
Affiliating School of Nursing Forms for each Clinical Rotation:
Pyxis BioID User Form
Only for instructors.
Sign and fax to Joyce Leonette (fax# 216.636.2190)
Omnicell Access Form
Complete this form and fax to turkg@ccf.org.
Affiliated School Confidentiality Form
HIPPA form specific to Cleveland Clinic.
Have students sign and mail to Joyce Leonette via interoffice mail. Mail code: HSB-111.
Request for Nursing Student Clinical
Email to leonetj@ccf.org
This is the information for ID badge form and computer access.
Affiliated Schools Background Information
Have student fill out two copies and bring the day scheduled for ID badges.
Affiliated Schools Classroom Assignment Schedule
Email to leonetj@ccf.org
Request for rooms for pre and post conferences.
Faculty are not allowed to use the nursing lounge for the conferences.
Affiliating School Faculty Orientation Checklist
After completed, give to Clinical Nurse Manager of assigned unit.
Cleveland Clinic Nursing Student Assignment Documents
All schools must use this assignment form for consistent communication between instructor/students and staff.
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