Skip to Content
Skip to Navigation

Providence Centralia Hospital


30 days prior to your rotation

Paperwork to Complete

Please go to the link below:

Click on the Allied Health Student Link.

Complete Acceptable Use Agreement, Code of Conduct Acknowledgement and Non-Employee Confidentiality forms. You should sign them and send them to Jenn Rathe in Academic Services. 

Consent to Release Records Form. Please return this form to Anh Shafer in Academic Services. We cannot fill out the required passport until we receive this consent.

The School of Nursing Will Provide to the Site:

  1. Passport
  2. Student Verification Form
  3. IS Access Request Form

Faculty Information         

The hospital contact is Mary King at