Clinical Internship Faculty Registration

Faculty Attestation

By checking the box for each document , , does hereby certify that the following documents are on file at the contracted college office. The school will be responsible for submitting any requested document for Kindred Healthcare, inspectors and surveyors upon request. For questions please contact the Student Programs Department at

Student Documentation

Medical Information Documentation

*If you are unable to attest to any of the above or do not have these records on file at the college, please explain below.

* If you have any questions regarding the above requirements, please contact the Student Program Department at 800-677-1202 ext 2646.