Students who have been approved to complete their clinical experience requirements at Mayo Clinic Health System in Eau Claire are required to complete an application packet. The packet must be completed by the student, and the required forms must be sent to the student's instructor within two weeks of the student's start date at Mayo Clinic Health System in Eau Claire.
Nursing students can access the Mayo Clinic packet here. All other students should follow the directions below.
These documents must be reviewed by the student:
HIPAA Compliance Presentation
Electronic Access to Protected Health Information Presentation
These forms must be completed by the student:
Student Registration Form (complete first two sections of the form)
Confidentiality & Nondisclosure Form
Computer Use Agreement
Orientation Post-test Form
Electronic Access to Protected Health Information Post-test
Emergency Contact Information
Note: Instructors will send completed forms to:
Mayo Clinic Health System
1221 Whipple St.
Eau Claire, WI 54702-5200
Incomplete forms will be returned to the instructor and may result in a delay of the student's start date at Mayo Clinic Health System in Eau Claire. If you have any questions, please call Human Resources at 715-838-6455.