Faculty Facility Specific Documents
Please Note: Documents are required every semester/term even if returning to the same facility. Please be aware that some forms are labelled "student" but are required to be completed by both students and faculty.
File type and sizing are important. We encourage faculty to scan Facility documents into one PDF, ideally keeping your document packet to a minimium file size of 2MB or less. A scanner is available for convenience in the SON workroom in EC-188. In addition, you can use these scanners to automatically convert images to PDF’s depending on your phone’s operating system: IOS Guide / Android Guide
Please note: All materials linked or included on this page are the property of the CSUF School of Nursing and may not be copied, reproduced, distributed, or otherwise shared without prior written permission.
Anaheim Regional Medical Center (AHMC)
- AHMC Registry and Student Orientation Guidelines
- AHMC Post-Test
- AHMC Answer Sheet
- AHMC Statement of Confidentiality
- AHMC Statement of Responsibility and Orientation Acknowledgement
- AHMC Systems Access Request Form
- AHMC Evaluation forms
Children's Hospital Los Angeles (CHLA)
Rady Children's Health (Formerly CHOC)
Corona Regional Medical Center (CRMC)
Kaiser Permanente (KP)
If you have not yet been assigned an NUID number, please leave this area blank on your KP forms when asked for an Employee ID or an NUID.
Kaiser Permanente Downey:
Kaiser Permanente Los Angeles
Kaiser Permanente San Bernardino County- Fontana and Ontario sites:
Kaiser Permanente South Bay - rotation clinical teaching assignment (BSN/ Undergrad):
- Review and sign the HR Required Forms and Dress Code Attestation
- Submit your LA City Fire Card. Courses can be found here: https://fireandsafetyeducation.com/
- email documents and Fire Card to [email protected]
- Review: Student-Instructor Packet Checklist
PIH - Downey Medical Center
PIH - Whittier Medical Center
Pomona Valley Hospital (PV)
- PV Hospital System Access Request Form
- PV Confidentiality Statement
- PV Basic Orientation and Acknowledgement
Providence Mission Hospital
- FACULTY CCPS Registration - rotation clinical teaching assignment (BSN/ Undergrad)
- MyCCPS
- Mission Campus Map
Providence St. Joseph Hospital (SJH)
- FACULTY CCPS Registration - rotation clinical teaching assignment (BSN/ Undergrad)
- MyCCPS
Providence St. Jude Medical Center (SJMC)
- FACULTY CCPS Registration - rotation clinical teaching assignment (BSN/ Undergrad)
- MyCCPS
Saddleback Memorial Medical Center (SMMC)
- Student Agreements
- Orientation Acknowledgement Form
- Epic Training Instructions
- Contact Staff and Student Hospital Booklet
UCI Health - Los Alamitos
- UCI-Los Alamitos Instructor Clinical Rotation Standards
- UCI-Los Alamitos Onboarding Documents
- UCI LAMC Packet Comprehension Test
- UCI LAMC Attestation
- UCI LAMC Privacy and Security Training
- UC LAMC Onboarding Instructor Appx.
- UCI-Los Alamitos Nova Flyer
- UCIMC Confidentiality Form link opens in a new window pdf file
- UCI LAMC Student Sponsor Form link opens in a new window pdf file
- UCI LAMC Acknowledgement of UCI Health Privacy and Security Training
UCI Health- Fountain Valley
- UCI FV 2024 Orientation
- UCI FV Student Nurse Co-Signing Process
- UCI FV Confidentiality Agreement
- UCI FV Security Form and Contract Personnel
- UCI FV Information Privacy and Security Education Attestation
- UCI FV COVID Attestation
- UCI FV Orientation Information Acknowledgment
- UCI FV Artificial Nails Policy
UCI Health - Placentia Linda
- UCI-Placentia Linda Instructor Clinical Rotation Standards
- UCI PLH Orientation Booklet
- UCI PLH Student Sponsor Form
- UCI PLH Student Test
- UCI PLH Student Attestation
- UCI PLH Confidentiality Agreement
- UCI PLH Privacy and Security Training and Acknowledgement Form
UC Irvine Medical Center (UCIMC)