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It also records observation dates (up to 30 days) and documents up-to-date immunizations or proof of immunity, including Tdap, Hepatitis B, MMR, Varicella, annual tuberculosis screening, and influenza. 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They have met the following requirements as delineated in our Affiliation Agreement with CHRISTUS Santa Rosa Health System and/or CHRISTUS Children’s.  \n□ Successfully passed federal and state criminal background checks  \n□ Maintains current CPR certification  \n□ Completed HIPAA Privacy training  \n□ Completed training in infection control practices, universal precautions, fire and safety  \n□ And up to date with the following immunizations or have provided proof of immunity:  \n• Tetanus-Diphtheria  \n• Hepatitis B series  \n• Measles, Mumps, & Rubella (MMR)  \n• Varicella  \n• Tuberculosis screening-annually  \n• Influenza  \nFull name and department of Medical Staff Sponsor  \nDates of observation (not to exceed 30 days)  \nClinical Program Director Signature, Date  \nor Designated Signatory  \nPrinted Name and Title","cbCaifFn82sa0hd6","https://ap.wps.com/l/cbCaifFn82sa0hd6","pdf",105660,"English","# Letter Details\n## Subject and Applicant Information\n## Requirements Checklist\n## Immunizations and Proof of Immunity\n## Observation Dates and Signatures","[{\"question\":\"What does the Letter of Good Standing confirm?\",\"answer\":\"It confirms the person listed is in good standing with the institution by meeting the requirements outlined in the affiliation agreement.\"},{\"question\":\"Which requirements are included in the checklist?\",\"answer\":\"The template includes criminal background checks, current CPR certification, HIPAA Privacy training, and training in infection control, universal precautions, fire, and safety.\"},{\"question\":\"What immunizations or proof of immunity must be provided?\",\"answer\":\"The letter lists Tetanus-Diphtheria, Hepatitis B series, MMR, Varicella, annual tuberculosis screening, and influenza, either as current immunizations or proof of immunity.\"}]","Letter of Good Standing Template - Letter | PDF",1789526276]