{"id":4189,"date":"2023-08-09T14:06:20","date_gmt":"2023-08-09T21:06:20","guid":{"rendered":"https:\/\/medicine.wsu.edu\/md\/?page_id=4189"},"modified":"2023-08-09T14:06:20","modified_gmt":"2023-08-09T21:06:20","slug":"health-provider-involvement-in-student-assessment","status":"publish","type":"page","link":"https:\/\/medicine.wsu.edu\/md\/student-affairs\/wsu-college-of-medicine-forms\/health-provider-involvement-in-student-assessment\/","title":{"rendered":"Health Provider Involvement in Student Assessment"},"content":{"rendered":"\n<p id=\"unique-id-1__title\">This form is for those providing health services for medical students.<\/p>\n\n\n\n<p>When a situation is discovered where a student receives health services, including psychiatric\/psychological services, by a provider who is also involved in the student\u2019s academic assessment, it must be reported to the Associate Dean of Accreditation, Assessment and Evaluation. Please be mindful of confidentiality issues in completing this form.<\/p>\n\n\n\n<p>Upon submission of this form, the information will be sent to the Associate Dean of Accreditation, Assessment and Evaluation. Make sure you are familiar with the\u00a0<a href=\"https:\/\/wpcdn.web.wsu.edu\/wp-medicine\/uploads\/sites\/3190\/2023\/02\/WSUMED-non-involvement-of-providers-of-student-health-services-in-assessment.pdf\">Non-Involvement of Providers of Student Health Services in Assessment Policy\u00a0<\/a><\/p>\n\n\n<script type=\"text\/javascript\">var 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<\/div><form method='post' enctype='multipart\/form-data'  id='gform_6'  action='\/md\/wp-json\/wp\/v2\/pages\/4189' >\n                        <div class='gform_body gform-body'><div id='gform_fields_6' class='gform_fields top_label form_sublabel_below description_below'><fieldset id=\"field_6_1\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_1\"><legend class='gfield_label'  >I have read the Non-Involvement of Providers of Student Health Services in Assessment Policy.<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_1'>\n\t\t\t<div class='gchoice gchoice_6_1_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_1' type='radio' value='Yes'  id='choice_6_1_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_1_0' id='label_6_1_0'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_1_1'>\n\t\t\t\t\t<input 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<input type='text' name='input_6.3' id='input_6_6_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_6_6_3' >First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_6_6_6_container' class='name_last' >\n                                                    <input type='text' name='input_6.6' id='input_6_6_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_6_6_6' >Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_6_7\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_7\"><label class='gfield_label' for='input_6_7' >Your email address:<\/label><div class='ginput_container ginput_container_email'>\n  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When a situation is discovered where a student receives health services, including psychiatric\/psychological services, by a provider who is also involved in the student\u2019s academic assessment, it must be reported to the Associate Dean of Accreditation, Assessment and Evaluation. Please be mindful of confidentiality [&hellip;]<\/p>\n","protected":false},"author":34189,"featured_media":0,"parent":1225,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"categories":[],"tags":[],"wsuwp_university_location":[],"wsuwp_university_org":[],"_links":{"self":[{"href":"https:\/\/medicine.wsu.edu\/md\/wp-json\/wp\/v2\/pages\/4189"}],"collection":[{"href":"https:\/\/medicine.wsu.edu\/md\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/medicine.wsu.edu\/md\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/medicine.wsu.edu\/md\/wp-json\/wp\/v2\/users\/34189"}],"replies":[{"embeddable":true,"href":"https:\/\/medicine.wsu.edu\/md\/wp-json\/wp\/v2\/comments?post=4189"}],"version-history":[{"count":1,"href":"https:\/\/medicine.wsu.edu\/md\/wp-json\/wp\/v2\/pages\/4189\/revisions"}],"predecessor-version":[{"id":4190,"href":"https:\/\/medicine.wsu.edu\/md\/wp-json\/wp\/v2\/pages\/4189\/revisions\/4190"}],"up":[{"embeddable":true,"href":"https:\/\/medicine.wsu.edu\/md\/wp-json\/wp\/v2\/pages\/1225"}],"wp:attachment":[{"href":"https:\/\/medicine.wsu.edu\/md\/wp-json\/wp\/v2\/media?parent=4189"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicine.wsu.edu\/md\/wp-json\/wp\/v2\/categories?post=4189"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicine.wsu.edu\/md\/wp-json\/wp\/v2\/tags?post=4189"},{"taxonomy":"wsuwp_university_location","embeddable":true,"href":"https:\/\/medicine.wsu.edu\/md\/wp-json\/wp\/v2\/wsuwp_university_location?post=4189"},{"taxonomy":"wsuwp_university_org","embeddable":true,"href":"https:\/\/medicine.wsu.edu\/md\/wp-json\/wp\/v2\/wsuwp_university_org?post=4189"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}