Get Coxhealth Clinical Rotation Application

The CoxHealth Clinical Rotation Application is an essential document for individuals seeking a clinical rotation experience at CoxHealth. This guide provides clear, step-by-step instructions on how to complete the application online, ensuring a smooth submission process.

Follow the steps to successfully complete the application.

1. Press the ‘Get Form’ button to download the application form and access it in your chosen digital editor.
2. Begin with the personal information section. Fill in your first name, middle initial, last name, and email address. Make sure to include your school email address if applicable, along with your current address, city, state, zip code, and phone number.
3. Indicate whether you are a CoxHealth employee and log in to Cerner if applicable. If you require Cerner or eMAR access, make sure to specify it in the provided field. Enter the last four digits of your Social Security number and your school student ID number.
4. Provide your vehicle make and model along with the license plate number. This information is necessary for clinical rotation access.
5. Transition to the program information section. Enter the name of your school, the program contact information, including their phone number and email address. Fill in your program of study, date of entry, and anticipated graduation date.
6. Specify the start and end dates of your rotation in the required format (mm/dd/yy).
7. Prepare the required documentation and orientation materials. Ensure you have the Effect of Application signed by both the provider and the student, a confirmation letter from your school, and evidence of professional liability malpractice insurance.
8. Complete the orientation materials, specifically the Blood/Body Exposure Agreement Form and the Confidentiality Agreement.
9. Fill in your emergency contact information, including their name, relationship to you, and phone number.
10. Review the prerogatives of the student to ensure understanding of the policies related to your clinical participation.
11. Sign and date the application, either digitally or in print, confirming the accuracy and completeness of all provided information.
12. Submit all completed application and orientation materials via email to Student_Education@CoxHealth.com or fax to 417-269-8472.

Complete your CoxHealth Clinical Rotation Application online today and ensure your submission is received on time.