Clinical Internship Student Registration


page 1 of 6

Student Affiliation Registration Form

Congratulations on your clinical internship placement with Kindred Healthcare! We look forward to hosting you and providing an exceptional clinical education experience. In the folowing secitons you will review and complete all compliance documents in order to comply with company policies for clinical placements. All sections must be completed in full before you can submit your registration. If you have questions, please contact Meeya Hill at meeya.hill@kindred.com.

STUDENT INFORMATION

CLINICAL INTERNSHIP FACILITY INFORMATION

(found on your registration letter)