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CHS Physical Therapy

Clinical Education Forms

• Student Health Record Form

Forms for yearly March Clinical Commitment Requests:

• Clinical Education Commitment Form 2014
• Clinical Site Information Form Template (CSIF template)
• DCE Evaluation by CCCE-CI

Forms- Resources for CCCEs and CIS:

• Clinical Faculty Rights and Privileges
• AHEC Community Faculty Benefits
• Annual AHEC Community Based Faculty Conference    
• Guidelines and Self-Assessments for Clinical Education
• Clinical Education Manual
• Sample Clinical Education Agreement (Contract)
• Professional Behaviors Student Self-Assessment

© 2009 University of Kentucky Equal Opportunity University Contact UsLast Updated: 11/05/09