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It details School duties including licensing and qualification standards for faculty, student and faculty compliance requirements (examinations, immunizations, background checks, insurance), risk and workers’ compensation notifications, and educational instructions such as blood-borne pathogens training. The agreement also outlines Clinical Facility obligations covering resources, emergency care responsibilities, inspection access, student access to facilities, and HIPAA-related workforce and privacy compliance, plus curriculum alignment.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/clinical-education-affiliation-agreement-school-responsibilities/430488/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/clinical-education-affiliation-agreement-school-responsibilities/430488.png","ImageObject",300,407,{"name":92,"@type":93},"Rizky","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What are the School’s requirements for faculty providing clinical supervision?","Question",{"text":112,"@type":113},"The School assigns only faculty with a current license to practice occupational therapy and the necessary education and experience to competently supervise and/or train in the relevant specialty area. It must provide licensure documentation upon request.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What documentation must the School maintain for students and faculty assigned to the Clinical Facility?",{"text":117,"@type":113},"The School must have records showing physical examination results including required vaccinations and tuberculosis testing, evidence of a criminal background check, health insurance coverage, and current immunizations as required by the Clinical Facility. Copies are provided when requested, and student record sharing requires student consent.",{"name":119,"@type":110,"acceptedAnswer":120},"How does the agreement address emergency care provided by the Clinical Facility?",{"text":121,"@type":113},"The Clinical Facility provides emergency care, if available, for any accident, injury, or illness on the same basis as for its employees. Responsibility for all expenses and follow-up care remains with the student or faculty member.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},430488,1790902258,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":19,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":52,"preview_page_count":4},962085564807,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","CLINICAL EDUCATION AFFILIATION AGREEMENT  \nBETWEEN  \nXAVIER UNIVERSITY  \nThis Agreement is entered into as of the   day of   , 2026 , between Xavier University, located in Cincinnati, Ohio, hereinafter referred to as the \"School,\" and   , located in   , hereinafter referred to as the \"Clinical Facility,\" to enable the use of the Clinical Facility’s medical, educational, and community facilities by Xavier’s faculty and students in the Department of Occupational Therapy’s Clinical Program.  \nWHEREAS, it is to the mutual benefit of the Clinical Facility and the School to cooperate in educational programs using the facilities of the Clinical Facility, and  \nWHEREAS, it is in the best interest of the parties to plan jointly for the organization, administration, and operation of the educational programs,  \nNOW THEREFORE, in consideration of the mutual promises contained herein and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, School and Clinical Facility do hereby agree as follows:  \nARTICLE I -SCHOOL RESPONSIBILITIES  \nA. The School agrees to assign only faculty who have a current license to practice occupational therapy and the necessary education and experience to be competent in the area of specialty in which the faculty member is providing clinical supervision and/or training. The School shall provide documentation of licensure upon request. The School agrees to designate an Academic Fieldwork Coordinator to coordinate the planning and implementation of the fieldwork experience with the Clinical Facility.  \nB. The School warrants that each student and faculty member assigned to work with the Clinical Facility is in good standing with the School and, if applicable, the appropriate licensure board, and has on record:  \n(1) A physical examination showing that the student or faculty member is free of communicable diseases , including results of annual tuberculosis tests, required vaccinations, hepatitis B immunization, and vaccinations past the age of one year for measles, mumps, and rubella;  \n(2) Evidence of a criminal background check;  \n(3) Coverage under a policy of health insurance; and  \n(4) Current immunizations as required by the Clinical Facility.  \nThe School shall provide copies of such records to the Clinical Facility when requested, but, with regard to student records, only with the consent of the student. If the student declines, the Clinical Facility can elect not to accept the student.  \nC. If employees of the School will be in the Clinical Facility with students during the Clinical Program experience, the School shall provide evidence of workers' compensation insurance covering its employees. No student or employee of the School shall be considered an employee of the Clinical  \nFacility at any time during the term of this Agreement.  \nD. The School will assign to the Clinical Program only those students who have satisfactorily completed the prerequisite portions of the curriculum.  \nE. The School shall disseminate the established rules and regulations of the Clinical Facility to the participating students, and agrees to remove from the Facility any student who does not abide by such rules and regulations.  \nF. The School agrees to provide evidence of professional liability insurance coverage in the amount of $2,000,000/$4,000,000 for all of its students, and for all of its employees and agents who areassigned supervisory or administrative duties in the Clinical Facility in connection with the clinical affiliation of the School's students.  \nG. Before a student is placed with the Clinical Facility, the School agrees to inform the student that he or she will not be covered under the Clinical Facility's Workers' Compensation insurance.  \nH. The School agrees to provide instruction to students pertaining to blood borne pathogens and universal precautions in compliance with Occupational Safety and Health Administration Regulations, and to provide documentation ","cbCaicl27zw979gw","https://ap.wps.com/l/cbCaicl27zw979gw","pdf",85771,"English","# ARTICLE I - SCHOOL RESPONSIBILITIES\n## A. Faculty qualifications and coordination\n## B. Student and faculty compliance documentation\n## C. Workers' compensation and employment status\n## D. Student prerequisites for placement\n## E. Facility rules and removal for noncompliance\n## F. Professional liability insurance requirements\n## G. Workers' compensation coverage notification\n## H. Blood-borne pathogens and universal precautions instruction\n## I. Academic criteria for clinical placement\n## J. Educational objectives and fieldwork descriptions\n# ARTICLE II - CLINICAL FACILITY RESPONSIBILITIES\n## A. Physical facilities and equipment\n## B. Emergency care and expense responsibility\n## C. Inspection and records access\n## D. Access to library and cafeteria services\n## E. HIPAA workforce, privacy, and security compliance\n## F. Curriculum guide alignment\n## G. Fieldwork Educator designation","[{\"question\":\"What are the School’s requirements for faculty providing clinical supervision?\",\"answer\":\"The School assigns only faculty with a current license to practice occupational therapy and the necessary education and experience to competently supervise and/or train in the relevant specialty area. It must provide licensure documentation upon request.\"},{\"question\":\"What documentation must the School maintain for students and faculty assigned to the Clinical Facility?\",\"answer\":\"The School must have records showing physical examination results including required vaccinations and tuberculosis testing, evidence of a criminal background check, health insurance coverage, and current immunizations as required by the Clinical Facility. Copies are provided when requested, and student record sharing requires student consent.\"},{\"question\":\"How does the agreement address emergency care provided by the Clinical Facility?\",\"answer\":\"The Clinical Facility provides emergency care, if available, for any accident, injury, or illness on the same basis as for its employees. Responsibility for all expenses and follow-up care remains with the student or faculty member.\"}]","Clinical Education Affiliation Agreement - School Responsibilities | PDF",1790652952]