Clinical Practicum Agreement Sample Contracts

This Agreement is between Conejo Valley Unified School District
Clinical Practicum Agreement • April 12th, 2021 • California
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Fieldwork Experience Requirements
Clinical Practicum Agreement • August 22nd, 2011 • California

Below is information you will need in order to secure your practicum and maintain your seat in the program. The Clinical Practicum Agreement must be signed by your fieldwork site and submitted to us by date.

CLINICAL PRACTICUM AGREEMENT
Clinical Practicum Agreement • July 13th, 2022

I, the undersigned, agree to uphold the standards of the Medical Assistant Clinical Practicum experience as stated in the Medical Assistant Clinical Practicum Syllabus, the Medical Assistant Clinical Practicum packet of documents (as provided to both the student and the clinic site), and the standards as written in the Medical Assistant Handbook. I acknowledge that I have received these documents, have read them, have had the opportunity to ask questions, and am responsible for their contents.

CLINICAL PRACTICUM AGREEMENT
Clinical Practicum Agreement • August 23rd, 2022

I, the undersigned, agree to uphold the standards of the Medical Assistant Clinical Practicum experience as stated in the Medical Assistant Clinical Practicum Syllabus, the Medical Assistant Clinical Practicum packet of documents (as provided to both the student and the clinic site), and the standards as written in the Medical Assistant Handbook. I acknowledge that I have received these documents, have read them, have had the opportunity to ask questions, and am responsible for their contents.

Clinical Practicum Agreement
Clinical Practicum Agreement • November 12th, 2019

Rec. Methods of Reaching Clinical Instructor & contact info (phone, email) 1. Emergency Cancellation procedure (i.e., clinician illness; death in family)

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