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Breda (St. Anthony Clinic)
Carroll (St. Anthony Clinic)
Chronic Care Center
Coon Rapids (St. Anthony Clinic)
Denison (St. Anthony Clinic)
Garden View Assisted Living
Home Health & Hospice
Iowa Heart Center
Iowa Radiology
Manning (St. Anthony Clinic)
McFarland Clinic
Mental Health Services
Mid Iowa Anesthesia & Pain Services
Orchard View
Radiant Complexions Dermatology
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Westside (St. Anthony Clinic)
Wolfe Eye Clinic (Formerly St. Anthony Eye Clinic)
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Student Safety / Compliance / Privacy Pledge Form
Student Safety / Compliance / Privacy Pledge Form
Prior to your first clinical date at St. Anthony, please complete the Student Safety / Compliance / Privacy Pledge form below.
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Student Signature and Attestation Page
First Name
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*
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Safety and Privacy
I acknowledge that I have read and understand the information provided in the St. Anthony Student Orientation packet. I have asked my preceptor to clarify any questions.
*
I recognize the importance of maintaining the confidentiality of patients and residents at St. Anthony Regional Hospital and Nursing Home, and of assuring their right to privacy.
*
I, therefore, pledge that I will not divulge any information about a patient or resident with persons in or out of the hospital or nursing home facilities unless the other party has a professional need to know.
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