Shadowing Experiences

Note that you will need health clearance prior to attending this shadowing experience

Please review the materials contained in Section A before completing Section B. Complete, print out, and sign each form in Section B.

Section A

Please review the following materials:

• Patents & Inventions Policy (701.1)
• Intellectual Property & Patents Rights Policy (705.1)
• Confidentiality of Health Related Information Policy (408.10)
• Corporate Compliance Program Information
• Roswell Park Corporate Compliance Summary Policy (126.1)
• Compliance with Federal & State False Claims Laws (Appendix A)
• Orientation for Students PowerPoint

Section B

Open, complete, print out, and sign each form listed below. Please call Cathleen directly at 716-845-4632 to schedule a time to turn in your paperwork prior to beginning your shadowing experience on March 6th.

Please call Cathleen directly at 716-845-4632 if you have any questions about completing your paperwork.

• Registration Form
• Patent & Technology Transfer Agreement
• Student/Volunteer Attestation – Handling Personal Health Related Information
• Corporate Compliance Program Certification
• Orientation In-Service Checklist
• Orientation for Students Post-Test