Clinical Placement Forms - Nursing Education

Welcome to the University of Maryland Medical Center (UMMC), University Campus. This site has been created to serve as the central resource for all levels of nursing students that are utilizing UMMC for school related training purposes. Please complete all necessary paperwork prior to start date. Additional policies and guidelines have been added for reference. All students should read these policies and are expected to adhere to these standards.

Clinical Groups – Nursing and Any Other Patient Care Service Students

• Clinical Instructors: Please print one copy of the Orientation Manual Acknowledgment, Confidentiality Agreement and Department Orientation. All students and instructors that are not UMMC employees should sign the group forms and then fax it to Cyndy Ronald, 410-328-8258 or scan and send to cronald@umm.edu. The students and instructors that are not UMMC employees should read the Clinical Faculty and Orientation Manual prior to signing the acknowledgment form. All other forms listed below should be completed and submitted to the appropriate department as listed on the forms.
  • Clinical Faculty and Student Orientation Manual
  • Confidentiality Agreement, Clinical Groups
  • Orientation Manual Acknowledgment Form, Clinical Groups
  • Department Orientation Checklist, Clinical Groups
• Portfolio Training: Schools should contact Cyndy Ronald, cronald@umm.edu, to have students assigned Portfolio modules.
• Parking Information (Student Parking)

Practicum/Transition/Capstone Students (Undergraduate, CNL)

• Practicum Students: Please print the Orientation Manual Acknowledgment, Confidentiality Agreement, and Department Orientation. Please fax completed forms to Cyndy Ronald, 410-328-8258 or scan and send to cronald@umm.edu. You must read the Clinical Faculty and Student Orientation Manual prior to signing the acknowledgment form. All other forms listed below should be completed and submitted to the appropriate department as listed on the forms.
  • Clinical Faculty and Student Orientation Manual
  • Confidentiality Agreement, Practicum
  • Orientation Manual Acknowledgment Form, Practicum
  • Department Orientation Checklist, Practicum
• Portfolio Training: Schools should contact Cyndy Ronald, cronald@umm.edu, to have students assigned Portfolio modules.
• Parking Information (Student Parking)

Advanced Practice Rotations (Graduate Level – NP, CNS, CRNA, PA)

• Advanced Practice Students: Please print the Orientation Manual Acknowledgment, Confidentiality Agreement, and Department Orientation. Please fax completed forms to Cyndy Ronald, 410-328-8258 or scan and send to cronald@umm.edu. You must read the Clinical Faculty and Student Orientation Manual prior to signing the acknowledgment form. All other forms listed below should be completed and submitted to the appropriate department as listed on the forms.
  • Clinical Faculty and Student Orientation Manual
  • Confidentiality Agreement, Advanced Practice Practicum
  • Orientation Manual Acknowledgment Form, Advanced Practice Practicum
• Portfolio Training: Schools should contact Cyndy Ronald, cronald@umm.edu, to have students assigned Portfolio modules.
• Parking Information (Student Parking)

Policies/Guidelines for Reference

• Flu Vaccination (HRM-114)
• Nursing Student Placement and Supervision (ADP-006)