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Anesthesia Tech


Clinical Forms

Once a student has been assigned to his / her clinical site the student needs to read and  print out the specific clinical paperwork and bring all signed originals to the CTE Office. All paperwork is due immediately once the clinical assignment has been finalized.

The student is responsible for making copies of all forms turned in to the CTE Office prior to submission of the forms. Original forms are not returned to student.

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 turn it to CTE Office. If paperwork is not in before the end of Fall semester December 20. 2010, student will not be eligible to go to assigned clinical rotation as arranged.

Sharp Healthcare: All paperwork is to be turned in to CTE Office.

Student Placement Request (add your name, print & sign)
Certificate of Understanding (add your name, print & sign)
Confidentiality Statement (add your name, print & sign)
Parking Directions - All locations

Read the next 4 Power Points and then take 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

Student Compliance Answer Sheet

Print Your Clinical Experience  Report Sheet Here
Last Updated: 12/10/2014
  • Grossmont
  • Cuyamaca
A Member of the Grossmont-Cuyamaca Community College District