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Get Nyu Langone Health Security Request Form/academic Observers 2019-2025
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How to fill out the NYU Langone Health Security Request Form/Academic Observers online
This guide provides a comprehensive overview of how to properly fill out the NYU Langone Health Security Request Form for Academic Observers. Whether you are new to this process or need a refresher, these steps will help you complete the form efficiently and accurately.
Follow the steps to successfully complete your security request form online.
- Press the 'Get Form' button to retrieve the form and open it for editing.
- In the section labeled 'Academic Observer’s Name,' clearly print the name of the observer. Ensure that this is the official name to avoid any discrepancies.
- Fill in the address of the observer. Include the complete address with all necessary components, such as street address, city, state, and ZIP code.
- Provide a phone number where the observer can be reached. This should be a valid contact number.
- Select the host department by choosing 'Orthopedic Surgery.' This indicates where the observership will take place.
- Indicate the primary hospital affiliation, which should be 'NYU Langone Orthopedic Hospital.'
- Enter the start and end dates of the observership. Ensure that the duration does not exceed 30 days.
- Check the appropriate box under the 'CHECK ONE' section to indicate whether the observer is a 'Non-OR (Clinical and/or Research) Observer' or an 'OR Observer.'
- In the 'CHECK ALL THAT APPLY' section, select the relevant types of observation, such as 'Human Subject Research Observer' or 'Basic Science Observer.' If not applicable, indicate 'N/A.'
- Verify and confirm that you have documentation for positive photo identification of the observer, and include authentication for a signed Observer Agreement and any necessary supplemental agreements.
- Ensure the chairman of department or chief of service (such as Joseph D. Zuckerman, M.D.) signs the form and includes their contact number.
- After completing all required fields, save any changes you made, and consider if you need to download, print, or share your filled-out form.
Fill out your NYU Langone Health Security Request Form for Academic Observers online today!
The standard email format for NYU Langone Health typically follows the structure 'firstname.lastname@nyulangone'. This structure applies to most staff members, making it easy for you to contact the right person regarding your NYU Langone Health Security Request Form or Academic Observers questions.
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