Student Application for Job Shadowing

Student Information

Your full name
Your email address *

Placement Information

Under the terms of the internship, it is understood that the student is under the direct supervision of department manager. Any patient care delivered by the student will be under the direction of the department manager or his/her designee and only after student competency has been established and possession of school/personal liability insurance has been confirmed. The department manager will secure informed consent from the patient to permit the student to participate appropriately in the provision of patient care. Department managers will accept total responsibility for the supervising and directing those students who wish to serve internships with them in the Hospital.

The student understands and accepts the internship experience as described above. The student agrees to abide by the rules and regulations of River Hospital.

Please type in your full name as a digital signature

Accessible by boat and car, we pride ourselves on delivering high quality inpatient care, emergency services and outpatient services for routine and diagnostic testing. River Family Health Center offers a variety of primary care services, on premise, for the entire family. Our Ambulatory Surgical Unit offers same day surgery on an outpatient basis for a number of specialties. River Hospital Convenient Care offers same day non-emergency appointments

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4 Fuller Street
Alexandria Bay, NY