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Health Professional Trainees

Health Professional Trainee Processing Checklist

**PLEASE READ AND FOLLOW ALL INSTRUCTIONS CAREFULLY**

All Health Professions Trainees (HPTs) and instructors wanting to perform a clinical training assignment in the Columbia VA Health Care System (CVAHCS) must complete the items contained in the checklist below. Once ALL checklist items are complete, the entire packet of original printed items must be returned to the Education Service department at least seven weeks before the scheduled clinical training date. NOTE: This checklist consists of TWO pages.

All Instructors: If you will be at CVAHCS with your students, you must go through a credentialing verification process if not previously accomplished. You must also complete this checklist if not previously submitted. Contact our HR office at ext 54209/56520 for additional credentialing requirements. Getting Started:

Print this Health Professions Trainees Processing Checklist (link below). Follow all instructions carefully. Each item is linked to a form or training resource. Select and complete per the “Special Instructions” and any other instructions on the form or training resource. Return all forms as one packet in the same order as outlined on this checklist. Place the initialed copy of this checklist on top. This will ensure your paperwork is processed in a timely manner. It is highly recommended that you keep a copy of all application items provided.

Please provide a copy of two (2) forms of the following government issued identification from the ID Matrix: Valid Driver's License, Social Security Card and Passport are preferred.  

You must provide VA Form 10230 COVID - 19 Vaccination Form and a copy of COVID - 19 vaccine card with your HPT packet.

NOTE: All PDFs below are fillable and can be completed on your phone/computer. 

YOU MUST DOWNLOAD, FILL OUT, AND SUBMIT THE CHECKLIST BELOW.


Links to files on the checklist: