Appendices / Forms
Appendix A:Statement on Protection of Digital Personal Health Information
Appendix B: Health Forms
Appendix C: Work/Education Placement Agreement
Appendix D: Student on Unpaid Work Placements Accident Report
Appendix E: ACE INA Claim Forms
Appendix F: Interprofessional Education Flexible Activities
Appendix G: Fieldwork Matrix & IPE Fieldwork Tracking Sheet
Appendix H: Request for Special Consideration Form
Appendix I: Fieldwork Placement Change Request Form
Appendix J: Travel Allowance Request Form
Appendix K: International Placement Forms
Appendix L: Confirmation of Understanding of Student Responsibilities Form
Appendix M: Student Report on Fieldwork Placement
Appendix N: Flow Charts
Appendix O: Learning Objectives
Appendix P: Communication Tip Sheet
Appendix Q: Checklist for Students While on Placements
Fieldwork Manual
