Get 55m 11 Bvpt

Filling out the 55m 11 Bvpt form is an essential step for clinical facility approval. This guide provides clear, step-by-step instructions to help you complete the form thoroughly and accurately, ensuring compliance with the necessary regulations.

Follow the steps to complete the form effectively.

1. Click the ‘Get Form’ button to access the 55m 11 Bvpt form online and open it in the editor.
2. Begin by entering the school name and campus in the designated field, making sure to indicate whether the form is for Vocational Nurse (VN) or Psychiatric Technician (PT) programs.
3. Provide the clinical facility's name, complete address, telephone number, and fax number clearly in the specified fields.
4. Enter the name of the facility administrator and facility director in the relevant sections.
5. Input the contact person's name, telephone number, and email address to ensure proper communication.
6. Select the type of facility by checking the appropriate box for licensed, certified, or other statuses.
7. Indicate the client population for which the facility provides services by checking all applicable categories.
8. Fill in the average daily census for the facility, detailing the number of adults, pediatric, geriatric, and other populations served.
9. Describe the units/services available for student assignment, including the average daily census for each and the maximum number of students that can be accommodated.
10. Respond to the facility director's questions regarding student objectives and instructor orientations by checking 'Yes' or 'No' as applicable.
11. Provide detailed student information, such as the level, starting calendar dates, unit/services, number of students, and scheduling specifics.
12. Ensure you attach the necessary documents, including the clinical objectives for each student level and the faculty orientation plan.
13. Have the program director answer pertinent questions about discussions held with the facility, checking 'Yes' or 'No.'
14. Gather necessary signatures from the facility director and program director to confirm agreement with the contents of the form.
15. Finally, certify that the information provided is true and correct, signing and dating the corresponding sections.
16. Once completed, users can save the changes, download, print, or share the form as needed.

Complete the 55m 11 Bvpt form online to ensure smooth processing of your clinical facility approval.