Return to Clinical Site On-Boarding Instructions
Site specific on-boarding requirements are updated annually, typically late summer/early fall. The instructions below were last updated July 31 2023 and are current for the 2023-2024 clinical experience.
Online Learning Platform Requirements
AAH has an online learning platform that will be used for mandatory training modules. Access to this system cannot be granted until after initial documentation is received and reviewed, and students will need to complete these modules prior to the start of rotations. More information with instructions for students will be sent after all of the documents below have been submitted to the clinical site for review.
Documents to complete
Please review and complete the following forms and forward to Brad De Pons (bkdepons@uwm.edu). Materials MUST be received by Brad in order to submit to your clinical site NO LATER THAN SEPTEMBER 15th, 2023 (6 weeks prior to the start of clinical rotations). Forms may be submitted to Brad via email at bkdepons@uwm.edu, or paper copies can be dropped off. Paper copies are preferred to ensure high quality scans. If submitting via email, please submit good quality scans of each document.
Non-AAH Employees Confidentiality Agreement-ACL – Print your name, date of birth, and last 4 digits of social security number. For Select One, mark Other and write “Student”. Sign and date the form. For Organization/Vendor, writhe UW-Milwaukee. For Organization Department and Location, write College of Health Professions and Sciences.
Click Here to view a completed example of this form
Non-Employee Confidentiality Agreement – AAH – Print your name, sign, and date the form. The Leader/Mentor spots should be left blank.
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ACL Minimum Access Form – Print your name at the top and sign where it says Student Signature. The appropriate boxes are already checked, and the location, preceptor signature, and date lines can be left blank.
Click Here to view a completed example of this form
ACL Student COVID Safety Guidelines – Enter your primary location as the Site (i.e. West Allis, St. Luke’s, Summit. etc.). Print your name, sign, and date. School representative name and signature can be left blank.
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ACL COVID Vaccine Verification Form – Fill out all items in section 1. You can leave the ID number/Payroll number blank. Fill in your primary location as the Facility Where You Work (i.e. West Allis, St. Luke’s, or Summit). You can leave the “Please Check One” spot blank. Acceptible COVID vaccine documentation is listed on the form. DO NOT SUBMIT TO THE EMAIL ADDRESS LISTED ON THE FORM. This should be forwarded to Brad with your other forms, even if you have already submitted this directly to Marzena at marzena.horembala@aah.org. Once on site, you will be required to fill out a daily health questionnaire on the AdvocateAuroraHealth SafeCheck app (Brad can show you this closer to your clinical rotation)
Click Here to view a completed example of this form
ACL Influenza Vaccination Verification Form – If you are vaccinated outside of the Aurora Employee Health Department, fill out this form. You can leave your ID Number/Payroll Number blank if you do not know it, and enter your primary site as the site location (i.e. West Allis, St. Luke’s, etc.). Fill out all other information, and check the “Other” box and write in “Student”. Have the bottom portion of the form filled out when you receive your flu vaccine (everything under the portion that says, “Please print legibly. To be completed by vaccine administrator:”. DO NOT SUBMIT THIS TO THE EMAIL ON THE FORM – This should be forwarded to Brad with your other documentation.
Click Here to view a completed example of this form
ACL Laboratories Student Contact Information Form – Follow the instructions on the form to complete it. Make sure you use your UWM EMAIL ADDRESS, and your current mailing address (where you will live during clinical rotations).
Click Here to view a completed example of this form