[PT2021] Consent and Release to disclose Personal Information / I 802 Information

Shewmaker, Jennifer A jshewmaker at campbell.edu
Mon Mar 22 21:01:43 EDT 2021


Good evening Class of 2021,

Hope everyone is well and enjoying your time before clinicals begin.  I have attached a Consent and Release to Disclose Personal Information Form if you can sign and upload into Exxat under your required documents under Consent and Release Form by Friday if possible.  If you have received your Covid Vaccine I have also opened a tab under your required documents where you can upload proof of vaccine.

At this point you should have all emailed your CI with your introductory email to inquire as to hours, attire, parking and obtain final clearance for onboarding to confirm your start date of April 5. Please let me know if you have not heard back or corresponded with your CI's or in case of MFA sites the managers for each location.

I am so excited for your next stage and wish you luck on your clinicals.  Graduation is almost here!

Jennifer A. Shewmaker|Campbell University
Clinical Coordinator-Physical Therapy Program
College of Pharmacy & Health Sciences
*:Cell 919.291.2424|Fax: 910 814-5567|*: jshewmaker at campbell.edu<mailto:jshewmaker at campbell.edu>
Tracey F. Smith Hall, room 118
4150 US 421 South
Lillington, NC 27546

Mailing Address:
P.O. Box 1090
Buies Creek, NC 27506

[Physical TherapyCPHS Horizontal Align - Screen]
Like us: www.facebook.com/campbelldpt<http://www.facebook.com/campbelldpt>

The DPT Program at Campbell University is accredited by the Commission on Accreditation in Physical Therapy Education (CAPTE), 1111 North Fairfax Street, Alexandria, Virginia 22314; telephone: 703-706-3245; email: accreditation at apta.org<mailto:accreditation at apta.org>; website: http://www.capteonline.org<http://www.capteonline.org/>. If needing to contact the program/institution directly, please call 910 893-1720.


-------------- next part --------------
An HTML attachment was scrubbed...
URL: <http://list.campbell.edu/pipermail/pt2021/attachments/20210323/6addb297/attachment.html>
-------------- next part --------------
A non-text attachment was scrubbed...
Name: image001.jpg
Type: image/jpeg
Size: 3964 bytes
Desc: image001.jpg
URL: <http://list.campbell.edu/pipermail/pt2021/attachments/20210323/6addb297/attachment.jpg>
-------------- next part --------------
A non-text attachment was scrubbed...
Name: Consent and Release to Disclose Personal Information.docx
Type: application/vnd.openxmlformats-officedocument.wordprocessingml.document
Size: 33555 bytes
Desc: Consent and Release to Disclose Personal Information.docx
URL: <http://list.campbell.edu/pipermail/pt2021/attachments/20210323/6addb297/attachment.docx>


More information about the PT2021 mailing list