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PRECEPTORSHIP / CLERKSHIP AGREEMENT - Peninsula ... 2026
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- Click ‘Get Form’ to open the PRECEPTORSHIP / CLERKSHIP AGREEMENT in the editor.
- Begin by entering the date of the agreement at the top of the form. This is essential for record-keeping.
- Fill in your university name and student details, including your name, home address, telephone number, and email address.
- Select the patient care areas where you will be participating by checking all applicable boxes such as Surgical Services or Emergency Services Dept.
- Indicate whether computer access is requested for the student by selecting 'Yes' or 'No'.
- Review and complete sections regarding program enrollment and preceptor details, ensuring accuracy.
- Acquire necessary signatures from all parties involved, including your educational institution and supervising physician if applicable.
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