Clinical Training Forms
RELEASE OF MEDICAL INFORMATION
PERMANENT ADDRESS FORM
RECEIPT OF STUDENT HANDBOOK
CLINICAL TRAINING I SAFETY SIGN-OFF
CLINICAL TRAINING II SAFETY SIGN-OFF
DAILY ATTENDANCE RECORD
MISSED CLINICAL TRAINING REPORT
CLINICAL COMPETENCY CHECKLIST
EVALUATION FOR DIAGNOSTIC COMPETENCY
EVALUATION FOR PORTABLE EXAM COMPETENCY
EVALUATION FOR C-ARM COMPETENCY
EVALUATION FOR FLUOROSCOPIC COMPETENCY
EVALUATION FOR EVENING AND WEEKEND ROTATION COMPETENCY
PORTABLE/SURGERY ROTATION OBJECTIVES
FLUOROSCOPY ROTATION OBJECTIVES
PEDIATRIC OBJECTIVES
MONTHLY RECORD OF RADIOGRAPHIC PROCEDURES
PROFESSIONALISM EVALUATION
1st MONTHLY CLINICAL TRAINING I PERFORMANCE EVALUATION
2ND MONTHLY CLINICAL TRAINING I PERFORMANCE EVALUATION
3RD MONTHLY CLINICAL TRAINING I PERFORMANCE EVALUATION
FINAL CLINICAL TRAINING I PERFORMANCE EVALUATION
CLINICAL TRAINING I SITE EVALUATION
1ST MONTHLY CLINICAL TRAINING II PERFORMANCE EVALUATION
2ND MONTHLY CLINICAL TRAINING II PERFORMANCE EVALUATION
3RD MONTHLY CLINICAL TRAINING I PERFORMANCE EVALUATION
FINAL CLINICAL TRAINING II PERFORMANCE EVALUATION
Clinical Training II Final Site Evaluation
Entry Level Verification
GENERAL EDUCATION LEARNING OUTCOMES MEASUREMENT
INCIDENT FORM
STUDENT EXIT QUESTIONNAIRE
EMPLOYER QUESTIONNAIRE
CLINICAL TRAINING COMPLETION FORM
PERSONNEL DOSIMETRY NOTIFICATION REPORT
TRANSCRIPT REQUEST FORM
FAX COVER SHEET
