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Graduate Clinical Requirements: Group Health Cooperative

Paperwork to Complete

ALL NP students should complete:

  • Student Checklist for HIPAA
  • Confidentiality and Security Agreement

Both forms are available at: http://www.ghc.org/hosting/nursingplacement/ghc-nsg-stplcmt.html

NP paperwork can be sent to Roger Walker, please call Roger to set up computer access. Roger’s contact information is:

Roger Walker
Program Manager
Nursing Operations, Group Health Cooperative
Phone: (206) 448-6431
Email: walker.roger@ghc.org

Midwifery Students should ADDITIONALLY complete:

Midwifery students please return your paperwork to:

Graduate Medical Education
Group Health
320 Westlake Ave N  Suite 100, E2N
Seattle, WA 98109
Fax: (206) 877-0649
Email: graduatemedicaleduca@ghc.org

*If you are currently a GHC employee or have previously attended this site for a rotation, you may not need to complete these forms. However, please let Jenn Rathe (jrathe@uw.edu) in Academic Services know so she can include this information in her letter to the site.

Additional Information

Influenza immunization is now mandatory for all Healthcare workers who work in facilities where patient care is provided or who provide patient care, including agency, contracted, students, interns, trainees, and vendors. Group Health implemented this policy in order to provide a safe environment for our patients and staff. Healthcare Worker compliance must be completed by December 28, 2012. Compliance consists of either being immunized or having a medical or religious exemption. 

Healthcare Workers that have a medical/religious exemption will be required to wear a mask when working in patient care areas once our Infectious Disease physicians have declared that flu is active in the community.  Should the flu season be declared prior to December 28, 2012, all unvaccinated Healthcare Workers will be required to wear a mask prior to December 28, 2012. After January 4, 2013 Healthcare Workers not in compliance with the influenza immunization policy will not be allowed to work at Group Health.