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University of Washington

Discover what's next. It's the Washington Way.

Contracted Healthcare Providers at Harborview

Training information for Health Care Providers at Harborview Medical Center

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Pre-orientation Forms

Prior to arriving at HMC please print, you or your agnecy must review and fill out these forms.

  • Personal Data form
  • WA State Patrol (WATCH) Background
  • HMC Health History form
  • Privacy, Confidentiality, and Information Security Agreement (PCISA)
  • License/Registration/Certification Verification Policy and Procedures Acknowledgment
  • HMC National Background check
  • Equipment Safety form
  • HMC Policies and Procedures Acknowledgement
  • UW Medicine – Code of Conduct
  • Job Description (To receive from Medical Center or Agency)
  • Campus Map

 

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HMC Traveler Coordinator

(206) 744-6514

MIROMAN@UW.EDU

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