Click the links below to download the Cleveland Clinic forms.

Faculty Orientation Requirements

Security Process (ID Badges - Parking - Fingerprinting)

Affiliating School of Nursing Forms for each Clinical Rotation:

Affiliated Schools Background Information
Have student fill out two copies and bring the day scheduled for ID badges.

Request for Nursing Student Clinical          
Email to leonetj@ccf.org
This is the information for ID badge form and computer access.

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.   

Cleveland Clinic Nursing Student Assignment Sheet

All schools must use this assignment form for consistent communication between instructor/students and staff.

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.

Pyxis BioID User Form

Only for instructors. 
Sign and fax to Joyce Leonette (fax# 216.36.2190)

Affiliating School Faculty Orientation Checklist          
After completed, give to Clinical Nurse Manager of assigned unit.