Marshall MEDICAL CENTER

PHYSICIAN / AHP

INITIAL ORIENTATION CONFIRMATION FORM

Your initial orientation is not complete until you have filled in this form and submitted it by clicking the "Submit" button below. The following information is required: 
Name:  *Specialty:  *By checking this box, I confirm that I have read and understand the required orientation topics as listed below (confirmation is not complete until the "Submit" button is clicked and a "Thank You" message appears):
• Mission/Vision/Values
• Confidentiality
• Cultural Diversity
• Tobacco Free Campus
• Personal Appearance
• Emergency Codes
• Fire Safety
• Patient Safety Reporting, Fall Risk & Patient Identification
• Infection Prevention and Control
• Infectious Disease Acknowledgement
• Student Acknowledgement and Release of Liability (applicable to clinical students) 
After completing all required lessons, click the "Submit" button below. A record of your completion will be sent to the appropriate department(s).