Clinical Forms

• Clinical Practicum Forms

• COVID:  Assumption of Risk Form

  Clinical Site Evaluation Form

  Clinical Evaluation of Preceptor by Student

  Clinical Student Request & Authorization to Release Records and/or Information 

  Employer Acknowledgement Form

  Functional Health Status Form

  Initial Clinical Health Clearance Form

  Re-Clearance Clinical Health Form

  On Campus Student-Preceptor Information Request Form

  Graduate Nursing Clinical Documentation Checklist

  WP Online Student-Preceptor Information Request Form

• School Nurse Practicum Forms

• School Nurse Clinical Experience

  School Nurse Practicum Checklist

  Resume for Clinical Work

  Functional Health Status Form

• Exxat Information

• Exxat Instructions

  Exxat Student Placement Request Manual

  Exxat Student Placement Request Video

• Clinical Overview

• Clinical courses and preceptor information