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Required Student Forms

Listed are the forms that need to be completed by students BEFORE they begin clinical rotations within the Saint Joseph Mercy Health System.

Required Student Forms: (These are located in student link as well)

  1. Immunization Form
  2. Confidentiality Agreement
  3. Participant Agreement
  4. Orientation Checklist
  5. Post Test

Please submit all forms and immunization information, at the same time, to the Affiliating Schools Coordinator listed below, BEFORE you start your clinical rotation. Please be sure your paperwork is labeled with your name, class and unit.

Please send all above information to the Affiliating Schools Coordinator:
Affiliating Schools Coordinator
Employee Education and Development
Administrative Services Building
Suite 1B-75
5301 East Huron River Drive
P.O. Box 995
Ann Arbor, MI 48106-0995
Aami-clinicalplacements@trinity-health.org
(734-712-2418)

A Member of Trinity Health