Common Contracts
1 similar Observation Agreement contracts
ContractObservation Agreement • August 13th, 2020
Observation Agreement for GME Trainees Form Completion -‐ Sponsor please complete and sign this agreement with the observer. Sponsor is required to retain this form for five (5) years and submit copy to GME Office, Attn: Linda White at least 2 weeks prior toobservation. Full Name of Observer DOB: Observer’s Home Program Email address/Cell phone / Full Name of Sponsor & Title Date(s) of Observation Location(s) of Observation Signature of ProgramDirector Sponsor Responsibilities In consideration of being given the opportunity to sponsor an observer at the University of Virginia Medical Center, I agree to instruct and ensure that the observer performs the following:1. The observer shall review the attached written information regarding the Medical Center’s policies for Patient Privacyand Standard Precautions. I shall answer any questions the observer may have about this information.2. I understand that the observer is permitted to observe patient care with patient consent. I ag
