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American Family Children's Hospital
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Volunteer New Placement Form

Thank you for volunteering with UW Health. Once your schedule (including classes, work, labs, sports, etc.) is 100 percent finalized, please complete this form to extend an expiring placement or request a new placement. Note: College students should complete a new form for each semester.

 

Have you updated the following annual requirements in the past year?

 

Flu Shot

 

If you haven't already done so, please e-mail us documentation that you received this year's flu shot. A screenshot of your immunization record (from UHS, Wisconsin Immunization Registry or MyChart) which includes both your name and the flu shot will suffice.

 

Tuberculosis Screening

 

Please fill out the appropriate questionnaire below and return it to EHS in person, via fax or email. Contact information is on the form.

Safety and Infection Control (SIC) Test

 

This is a yearly requirement for all volunteers. Click here to review the information and take the short follow-up test. If needed, pick up a hard copy of the test at Volunteer Services.

 

 

 

Thank you for your ongoing commitment to the patients, families and staff at UW Health.