Forms Required by Our Affiliate Hospital Sites

Health Requirements and Immunization Guide (All students review)

• Advent Hinsdale

  • Please contact Lonnise Jones at [email protected]
    

• Advocate Sites-Christ, Illinois Masonic, Lutheran General
  

  Students will receive an email from MedHub approximately two months prior to the start of their rotation with assigned tasks. Students will have approximately four weeks to complete, similar to when students completed via email.  The beauty of MedHub is that students will not need to complete the entire set of assignments for each rotation. They will only need to make updates if requested by the site coordinator.  It is possible that the email from MedHub may go to spam.

  In addition, we have updated the N95 masks that we allow. Below are the approved N95 mask models:
  3M Aura 1870+
  3M Vflex1804S
  Halyard N95, Small

  Students can get tested for a fee thru Advocate Occupational Health if they are unable to get tested thru their school.  Students rotating in EM and Trauma must be tested.  Students coming for other rotations that are not fitted for one of the above models, will need to recuse themselves from all patient encounters that require a N95.  Attached are the instructions for scheduling a fit testing thru Advocate Occupational Health.

  • Medical Student Information
  • Medical Student Forms and Requirements
  • Advocate Coordinator  Information
    • Advocate Christ
    • Advocate Illinois Masonic
    • Advocate Lutheran General

• Ascension St. Joseph

  • Confidentiality Agreement

• Hartgrove Hospital

  Email documents to [email protected]

  • Student Packet
  • DCFS CANTS Form

• John H. Stroger, Jr. Hospital of Cook County

  • Student Packet

• John J. Madden Mental Health Center

  • Student Packet

• Jesse Brown Veterans Administration Medical Center (JBVA MC)

  • Student Packet

• Little Company of Mary (Southcare Family Practice (Heartland))

  • Little Company of Mary form

• Mt. Sinai

  • Please contact Susan Avila at [email protected]

•  Rush-Copley Family Practice

  • Rotation Checklist
  • Clearance Form
  • Health Screening Form

• University of Illinois Hospital

  • Instructions for PowerChart & HIPAA Training via Learning Management System(LMS)
  • Scrub Suit Policy , required for clinical experiences in Anesthesiology, Otolaryngology, Neurosurgery, Ob/Gyne, Ophthalmology, Orthopaedics, Surgery Clerkship/Electives/Sub Specialties, Urology
  • Scrub Suit Form
  • UIH ID Badge

• Weiss Hospital

  • Rotating Resident and Student Information.pdf

Updated: 02/17/23