Appendix A: Health Forms

• Year 1 Health Forms with GuideLines (PDF)
• Year 2 Health Forms (PDF)

Appendix B: WSIB Student Declaration of Understanding

• Declaration of Understanding

Appendix C: Students on Unpaid Work Placements Accident Report

• Students on Unpaid Work Placements Accident Report Form (PDF)

Appendix D: ACE INA Claims Form

• Accident Report (PDF)

Appendix E: Course Descriptions

• Course Descriptions (PDF)

Appendix F: Interprofessional Education

• Appendix F IPE Requirements Fieldwork(PDF)

Appendix G: Fieldwork Record

• Fieldwork Record

Appendix H: Request for Special Consideration Form

• Request for Special Consideration Form (PDF)

Appendix I: Fieldwork Placement Change Request Form

• Fieldwork Placement Change Request Form (PDF)

Appendix J: Travel Allowance Request Form

• Travel Allowance 2018-2019

Appendix K: International Placement Forms

• International Fieldwork Placements Documentation Checklist and Reference Form (Fillable PDF)
• Consent Form and Release from Liability
• International Travel Allowance – Policy and Form

Appendix L: Confirmation of Understanding of Student Responsibilities Form

• Student Responsibilities Form (PDF)

Appendix M: Fieldwork Issues Flow Charts

• Fieldwork Issues Flow Charts (PDF)

Appendix N: Learning Objectives

• Learning Objective Chart, Evaluation Guide, and Useful Verb Chart (PDF)

Appendix O: Fieldwork Placement Coding Sheet

• Placement Offers Coding Sheet