"SHADOWING MADE EASY"

Documentation

ONE OF THE BIGGEST ROADBLOCKS TO SHADOWING IS KNOWING HOW AND WHERE TO START. HERE, WE MAKE IT EASY. FOLLOW EACH STEP FOR THE CORRESPONDING INSTITUTION.  

 

Providence St. Mary Hospital and Medical Group

 

  1. Email the physician to determine availability to shadow.  Inform the physician that you are in the process of completing the required shadowing paperwork.  

  2. Complete the following documents as outlined below and return via e-mail (nicole.ojcius@providence.org), fax (509.897.5108), or in-person (401 W. Poplar St., Walla Walla).  Once your paperwork is received and reviewed, you will be notified if approved for shadowing.  If approved, you will be advised  of your orientation date (orientations are typically held on the 3rd Friday of each month, 12:45-1:30 p.m.).   

  • Read the Student Observation Application Packet and sign the associated forms:

    • Observer Application 

    • Observer Agreement

    • Confidentiality and Nondisclosure 

    • Photography Authorization

    • Student Immunization Attestation/Declination Form

    • Disclosure Statement

    • Acceptable Use Policy

    • Acknowledgement of Commitment to Code of Conduct

  • Read the Safety Awareness Program packet and sign the associated form.

  • Provide a copy of your current resume (CV).

  • Provide a current digital photo. 

Note:  Providence St. Mary requires a criminal history background check (at the hospital's expense),  a TB test (at your expense) and a seasonal influenza immunization if you are shadowing for more than 1 day. 

Adventist Health Walla Walla General Hospital and Clinic

 

1. Contact the physician you wish to shadow first. Human Resources will then contact you.

2. Sign Confidentiality Agreement (Form 1 and 2)

3. Read Policy Agreement (Form 3)

4. Proof of Health Insurance

 

 

CLICK ON THE FORM TO DOWNLOAD AND PRINT!

STILL HAVE QUESTIONS?

ASK HUMAN RESOURCES AT THE SPCIFIC HOSITAL OR CLINIC 

FOR HELP!

Walla Walla Clinic

 

1. Currently this form is geared toward medical and nursing students, not pre-meds.

2. We suggest filling out the confidentiality agreement, submitting your resume/CV to

the physician you want to shadow, and providing proof of a negative TB and Hep B test (Form 1).

Family Medical Center (Yakima Valley Farm Workers Clinic)

 

1.  Review the YVFWC Participant Application  & Forms Packet and sign the associated   forms.  

2.  Review the YVFWC Student, Volunteer, and Contract Worker Orientation Manual and sign the associated  form.  

3.  Review the YVFWC HIPPA101 Training Information.

4.  Review the YVFWC HIPPA Privacy Policy.

5.  Sign the YVFWC HIPPA Privacy Policy Acknowledgement Form 

6.  Send the completed packet/forms to: students@yvfwc.org 

 

Family Medical Center requires a background check (at the clinic's expense) and proof of 2 STEP TB tests (3 weeks from each other) and current flu vaccine (at student's expense).  

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