Forms and Insurance

Student Forms 

Clinical Site Orientation Form - Updated Fall 2013-This form should be completed during the first week of each new rotation   

 
General Medical Evaluation- This form should be completed by your General Medical Preceptor upon completion of your rotation.  
 
Rotation Evaluations- Use this link to fill out the two end of rotation evaluation: 
-Preceptor Evaluation
-Clinical Site Evaluation
 
Monthly Hours Log- Use this sheet if you need an extra monthly hours log
 
Service Hours Log- Use this sheet to log service hours

 IHC Paperwork

Prior to completing any McKay-Dee Hospital or any other IHC Rotation, please complete and submit the following forms to the Clinical Education Coordinator.  

To complete this
  1.)  Go to:
 http://intermountainhealthcare.org/about/careers/non-employed/contingent/Pages/students.aspx

 
 2.) Find the section titled Clinical Student (Adult)

 3.) Download Student Manual AND Adult Clinical Student Packet

 4.) Complete Student Packet and Quiz

 5.) Turn in completed Student Packet to Matt Donahue 

 

 

Sportsware

www.swol123.net

Username: Weber Email

For password contact Matt Donahue

Click here to download to detailed instructions

Clinical and Service Hours during Breaks 

Students may complete clinical and service hours over the summer and winter breaks. HOWEVER, students must purchase their own personal liability insurance. These hours count towards the next semester hours and students can earn up to 1/3 of the hours required in the next semester during the breaks.  Students may earn ALL of their service hours over the summer/winter breaks and these will also count towards the next semester requirements.

 If you plan to do any clinical or service hours over either summer or winter break, you need to contact the Clinical Education Coordinator, Matt Donahuto ensure that:

1.  The location where you plan to do your hours is appropriate

2.  You have liability insurance on file (if you don't, instructions on how to purchase your own policy is below.)

You MUST give a hard copy to the Clinical Education Coordinator prior to beginning these hours.

 

Liability Insurance

To purchase a policy: 

Go to: www.hpso.com

1.) Under the Professional Liability Insurance Tab, click on Individual

2.) Choose Utah for the state and then Athletic Trainer under profession

3.) Click on the second bubble to "Find your annual premium rate" and click on Next

4.) Double-check that #1 says Utah, #2 says Athletic Trainer

5.) Under #3, choose Student and then click on Continue

Your annual premium will be approximately $37.  After the break is over, you can cancel your policy and receive a pro-rated refund.  Or, you can hang onto the policy in case you decide to complete clinical hours over another break.  You will need to pay online with a credit card or print the form and mail it in with a check.