Student Observer of Clinical Care Registration
Sponsoring Clinician Information
As an observer of clinical care at The Johns Hopkins Hospital, you are expected to behave in a responsible manner. The following are general expectations of behavior. The primary purpose for these guidelines is to protect the hospital community and ensure that you have a rewarding experience as a student observer. Please carefully read and sign this form asserting that you will follow these standards while engaged in clinical observation. If you fail to adhere to these expectations of behavior, your observership may be terminated at the discretion of your sponsoring clinician/designee.

1. You have the responsibility to act professionally and to maintain the confidentiality of any and all patient information including protected health information.

2. You have the responsibility to be groomed and dressed appropriately. Attire shall be clean, moderate in style, and appropriate for the work area.

3. You must wear a Visitor's ID wrist band and a Student Observer badge at all times.

4. You shall have no physical contact with patients.

5. Photography and video recording of any kind are not allowed while on Johns Hopkins property.

6. Smoking is not permitted at any time.

7. Possession of weapons, fireworks, or illegal drugs is not permitted at any time. If such items are found, the matter will be reported to local law enforcement.

8. Any other behavior, which is not outlined specifically above yet compromises the integrity and high standard of excellence of The Johns Hopkins Hospital, will not be tolerated.I attest that everything in this application is true and I agree to comply with the above expectations of behavior.
Please Download and Review our Confidentiality Agreement
Click here to download. When you have read the document, upload the document and then type in your name in the electronic signature box below. By providing your electronic signature you are consenting to our agreement forms.
Parental Consent Form Download
(if you are under 18 years of age, you must download and have a parent/guardian signature)

Please click here to download.