Resident Attestation Form

Crouse Health Hospital ­Acknowledgement/Attestation Form

I acknowledge and attest that I have received a copy and understand the information of the topics below:

New York State Surgical Invasive Procedure Protocol
Crouse Health Hospital Procedure on Illness/Communicable Disease
Crouse Health Hospital New Provider Orientation Manual
Crouse Provider Set Up
Restraint Policy
Unacceptable Abbreviations
Prophylaxis for Venous Thromboembolism
Medical Staff Bylaws and Rules and Regulations

I will comply with all Crouse Health policies and procedures, Medical Staff Bylaws and Medical Staff Rules and Regulations.

I have reviewed and passed the Soarian - EMR Training modules.

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