Please do NOT print double sided or staple your documents. Paperwork should be handed in T-208 on or before the deadline unless noted otherwise.
Immunizations (Tuberculosis, flu, Tdap), CPR and background checks expiring during your clinical placement must be updated at the time of onboarding. Clinical sites will not accept your paperwork if anything has expired or is about to.
Clinical Placements Northwest (CPNW)
Register and complete online learning modules on www.cpnw.org. See attachment [PDF] for contact information. Registration and completion of CPNW modules required for all students prior to first clinical rotation.
Contact Suzanne Lane at suzanne.lane@bellevuecollege.edu for specific enrollment instructions.
Email NDT Program Manager copy of module test results (pdf).
EvergreenHealth
- STEP 1: Log into CPNW (cpnw.org) and select EvergreenHealth from the list of clinical providers.
- STEP 2: Review all Allied Health FAQs and Orientations. Submit completed forms to the program manager.
Clinical Contact:
- Keith Brandt, KOBrandt@evergreenhealthcare.org
Franciscan Health System (St. Clare, St. Francis, St. Joseph)
- STEP 1: Complete Students and Faculty Online Requirements (link through CPNW.org)
- STEP 2: Submit completed paperwork to NDT Program Manager
Clinical Contact:
- St. Clare: Victoria Stanich, victoriastanich@fhshealth.org
Harborview Medical Center
Clinical site will email student directly with onboarding requirements.
Clinical Contact:
- Kris Shaw, kashaw@u.washington.edu
Multicare
- STEP 1: Complete Multicare Tacoma General Forms (link through CPNW.org)
(Click on: Please visit our website for additional onboarding requirements then Student/Faculty Orientation & Onboarding)- Needle Stick Policy
- MHS Intake Forms
- MHS Sponsor Name should be
Jolita Perez, jolita.perez@multicare.org, Ph. 253-403-5348
- MHS Sponsor Name should be
- E Learning Modules report from CPNW
- STEP 2: Submit completed paperwork to NDT Program Manager.
Clinical Contact:
- Jolean Crider, jcrider@multicare.org
Neurotech NW
Program Manager will submit required student paperwork.
Clinical Contact:
- Sedalia Cole, scole@neurotechnw.com
Northwest Hospital
- STEP 1: Complete Clinical Forms [PDF].
- STEP 2: Submit completed paperwork to NDT Program Manager.
Clinical Contact:
- David Ice, dice1@uw.edu
Providence Everett
- STEP 1: Go to the Providence Everett portal and follow instructions under Allied Health (use ‘Allied Health’ as your search criteria.)
- STEP 2: Submit the following forms to NDT Program Manager
- Non-Employee Confidentiality Form
- Code of Conduct Acknowledgement Form
- Acceptable Use Agreement Form
Clinical Contact:
- Lori Mclean, lori.mclean@providence.org
Seattle Children’s Hospital
Clinical site will contact student directly with requirements.
Clinical Contact:
- Nick Allar, Nicholas.Allar@seattlechildrens.org
- Lea Salas, Lea.Salas@seattlechildrens.org
- Cristi Roscher, cristi.roscher@seattlechildrens.org
Swedish Medical Center (Cherry Hill, Issaquah, Edmonds)
- STEP 1: Log into CPNW (CPNW.org) and select the appropriate Swedish location from the site drop down list. Follow instructions to go to Swedish site and complete all orientations and trainings. Complete all forms and forward the completed Data Access Form to the NDT program manager. – Mac users may have difficulty accessing Swedish Forms
Clinical Contact:
- Cherry Hill: Stephanie Jordan, stephanie.jordan@swedish.org
- Edmonds: Jadwiga Slusarski, jadwiga.slusarski@swedish.org
UW Medical Center
- STEP 1: No paperwork required at this time.
Clinical Contact:
- Melissa Peterson, melpet@uw.edu
Virginia Mason
- Step 1: Complete VMMC Student Packet [PDF]
- Step 2: Submit completed packet to NDT Program Manager.
Clinical Contact:
- Ankit Thakkar, Ankit.thakkar@virginiamason.org
Last Updated September 21, 2022