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Check Facility
Database for Site,Preceptor, or
Discipline
Core SiteSubmit a request using
the OTRS portal
Check schedule on
Blackboard
ConFollo
reqspec
After 30
You
requ
Non-Core Site
Research the sites
website/FacilityDatabase for required
materials.
Contact site foravailability. See page 2
for information to
obtain.
Submit rotation info toOTRS portal; include list ofrequested
documentation
Send completedapplication packet to site
and confirm hospitalclearance
Che
VSAS
Apply for rotation and
upload required
documents.
Submit documentation,verification and release
requests to OTRS portal
Submit approved
rotation to OTRS portal
Che
Non-Affiliated
or Non-
Credentialed
Contact site at least 120days before rotation to
initiate AffiliationAgreement: See pg. 2
Submit AffiliationAgreement info to OTRS
portal
Obtain and complete
required paperworkChe
Contact preceptor at least90 days before rotation toinitiate
faculty application:
See pg. 2
Submit Faculty
Application contact info
to OTRS portal
Obtain and completerequired clearance
paperwork
Che
If your request is not withindeadline, find an alternatesite in
the Facility Database
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Questions to ask when contacting a site/preceptor with a
request:
Are you available/willing to take my rotation for (rotation
dates)?o If not listed in the Facility Database see information on
setting up a new site/preceptor
Is there any paperwork I need to complete for this rotation?o
Who should I contact to complete this paperwork?
Will I need cleared through any hospitals for this rotation?o
Who should I contact for hospital clearance?
When, where and who should I report to on my first day?
Required information to obtain from new site for an Affiliation
Agreement:
Ask site if they are willing to set up an Affiliation Agreement
(120 Days).
Turn in required information to OTRS portalo Site name and
addressoThe name of the person who can sign an Affiliation
Agreement for the site.o Contact information for the person who
will facilitate the agreement,
Name, email, phone, and fax
Required information to obtain from a new preceptor who has
agreed to take your rotatio
Ask preceptor if they are willing to complete a New Faculty
Application (90 Days).
Turn in required information to OTRS portalo Contact information
for the new preceptor,
Name, email, phone, and faxo Contact information for the office
contact,
Name, email, phone, and fax
