Click on facility to download contract.

A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z

Affiliation Agreement Forms

• Account Initiation Form
• Learning Agreement and Internship Release Form - Word
• Student Medical Malpractice Insurance Form

A

• Advanced Life Systems
• American Medical Response

B

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• Ballard Ambulance Service
• Bellevue School District
• Benefis Hospital
• Benton Franklin Health District
• Billings Clinic

C

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• Capital Medical Center
• Cascade Valley Hospital and Clinics
• Central Washington Comprehensive Mental Health (Addendum)
• Central Washington Hospital (EMS/Paramedic)
• Central Washington Hospital (Other fields)
• Children's Hospital & Research Center Oakland
• City of Arlington Fire Department
• City of Boulder
• City of Ellensburg Adult Activity Center
• Clark County (Amendment)
• Confederated Tribes and Bands of the Yakima Nation
• Columbia Valley Community Health
• Community Health of Central Washington
• Country Doctor Community Clinic
• CWU Dining Services

D

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• DaVita Corporation (Total Renal Care): contract available at Career Services
• Deaconess Medical Center (Empire Health Services)

E

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• Ellensburg Fire Department
• Ellensburg School District
• Environmental Protection Agency
• Evergreen Health Care

F

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• Franciscan Health System (Includes: St Anthony Hospital, Gig Harbor; St Clare Hospital, Lakewood; St Francis Hospital, Federal Way; St Joseph Medical Center, Tacoma) Addendum

G

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• Gig Harbor Fire and Medic One
• Good Samaritan Community Healthcare
• Grand Itasca
• Graham Fire & Rescue, Pierce #21
• Grant County Fire District #5
• Greater Lakes Mental Healthcare

H

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• Harborview Medical Center (Addendum)
• Harrison Medical Center
• Health Point
• Healthsouth Corporation

K

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• Kadlec Medical Center
• Kaiser Foundation Health Plan
• Kaiser Foundation Hospitals
• Kennewick Fire Department
• Kennewick General Hospital
• Kittitas County Healthcare
• Kittitas County Public Health Department
• Kittitas Valley Fire and Rescue
• Kittitas Valley Healthcare

L

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• Lifeline Ambulance, Inc.
• Lourdes Health Network

M

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• Madigan Army Medical Center
• Marysville Fire District
• Mason General Hospital
• Monroe Fire Department
• Moses Lake Community Health Center
• Moses Lake Fire Department
• Mt Adams Kidney Center (Total Renal Care, Inc.)
• MultiCare Health System (Amendment 1) (Amendment 2) (Amendment 3)(Amendment 4)

N

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• New Hope Social Services
• Northwest Children's Home
• Northwest Hospital & Medical Center

O

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• Okanogan Douglas Hospital
• Olympic Medical Center Hospital & Clinics

P

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• Pasco School District
• PeaceHealth SouthWest Medical Center
• Pierce County Fire District #2
• Pierce Fire District #3/West Pierce Fire and Rescue
• Providence Everett Medical Center/Providence Health System - Washington/St. Mary Medical Center (Includes: Providence St. Peter Hospital, Providence Sound Home Care and Hospice, Providence Marianwood, Providence Centralia Hospital)
• Providence Health and Services of Oregon
• Puget Sound Kidney Centers

R

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• Recovery Innovations
• Richland School District
• Rural/Metro Ambulance of Greater Seattle

S

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• Saint Luke's Hospital and Regional Trauma Center
• Seattle Cancer Care Alliance
• Seattle Mental Health
• Selah School District
• Skagit Valley Hospital
• Snohomish County Fire District #8
• Snohomish Health District
• Swedish/Edmonds
• Swedish Medical Center

T

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Tacoma-Pierce County Health Department

Triumph Treatment Services

U

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• Union Gap Dialysis (Renal Treatment Centers - West, Inc.)
• United General Hospital
• University of Hawaii, Honolulu
• University of Washington Medical Center
• University of Washington School of Nursing

V

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• Valley Medical Center
• Veterans' Administration Puget Sound Health Care System
• Virginia Mason Medical Center

W

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• Walla Walla Fire Department
• Washington Oddfellows Home
• Wenatchee School District
• Wenatchee Valley Medical Center
• West Valley School District (Yakima)
• Whidbey General Hospital

Y

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• Yakima Regional Medical Center (Amendment 1) (Amendment 2)
• Yakima School District
• Yakima Valley Farm Workers Clinic (Addendum)
• Yakima Valley Memorial Hospital (including North Star Lodge and Children's Village)

The student is responsible for completing ALL requirements determined by the facility, the advisor and Career Services before the internship can begin.