Clinical Affiliation Agreement Template

Before a confirmed clinical rotation can begin, there must be an active Clinical Affiliation Agreement on file with the APP Center between UNC-Hospitals and the educational institution.  Students who will be completing a rotation at UNC-Hospitals must meet all the requirements detailed in the agreement.   If the educational institution does not currently have an active agreement in place with UNC-Hospitals, the APP Center will provide the educational institution with the UNC-Hospitals clinical affiliation agreement template for signature.  The clinical affiliation agreement template will ONLY be sent to the educational institution for signing IF a preceptor is located and the APP Center determines that the requested rotation is available.

Once the educational institution returns the signed UNC-Hospitals clinical affiliation agreement to the APP Center, the Placement Manager will obtain signatures from UNC-Hospitals and will email a copy of the fully executed agreement to the educational institution.

NOTE:  per UNC-Hospitals Legal, NO changes or edits will be accepted to the UNC-Hospitals clinical affiliation agreement template.