Student Orientation, Shadow and Clinical Packets

All Shadow/Clinical students must complete and return the required forms.

Orientation Packet- All students must complete.

Shadow Packet-
Shadow students obtain observation hours only (no patient contact). Times are flexible depending on the person being observed and the Director/ Supervisor. All Shadow students should be at least 17-years-old. (Some exceptions may be made at 16-years-old with permission.)
Shadow Student Letter
Shadow Student Form

Clinical Packet-
Clinical students are enrolled in a clinical education program. The time is typically set by the Clinical Program Coordinator. Students must have approval prior to beginning a clinical program from the educational facility and CRMC.
Clincial Student Single Signature Form
Clinical Student Multi-Signature Form

Return forms to:
Perrie Elrod, RRT, NPS
Education Coordinator
Cullman Regional Medical Center
P.O. Box 1108
Cullman, AL 35058
(256) 737-2635 - office
(256) 737-2377 - fax