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Providence Centralia Hospital

Deadline

30 days prior to your rotation

Paperwork to Complete

Please go to the link below:

http://washington.providence.org/hospitals/centralia-hospital/healthcare-professionals/student-and-instructor-prep-portal/allied-health-students/

Click on the Allied Health Student Link.

Complete Acceptable Use Agreement, Code of Conduct Acknowledgement and Non-Employee Confidentiality forms. You should sign them and send them to Jenn Rathe jrathe@uw.edu in Academic Services. 

Consent to Release Records Form. Please return this form to Anh Shafer in Academic Services. We cannot fill out the required passport until we receive this consent. http://nursing.uw.edu/sites/default/files/files/Consent_to_release_Final_July_2012.pdf

The School of Nursing Will Provide to the Site:

  1. Passport
  2. Student Verification Form
  3. IS Access Request Form

Faculty Information

http://washington.providence.org/hospitals/centralia-hospital/healthcare-professionals/student-and-instructor-prep-portal/allied-health-instructors/         

The hospital contact is Mary King at mary.king@providence.org