In order to be allowed to have patient contact during your hospital internships and clinical courses, every MUG student must obtain the following:
3. Fill out the forms as follows:
NAZWISKO (last name), IMIĘ (first name), circle your sex (K=female, M=male), DATA URODZENIA (birthday) – year/month/day), ADRES (local address), circle NIE DOTYCZY (does not apply), below write any medications you are taking at the moment, DATA i GODZINA POBRANIA (day and time you collected the sample), circle OSOBA BADANA (person who is tested) | |
Circle the word OSOBISCIE (in-person) and sign. |
4. For the next three days, bring a sample and a completed form to the lab once a day.
After you submit three samples, you will be told when to come back to the lab for the test result.
5. Keep the original of your lab result in a safe place.
Make a xerox copy of it and staple that copy in your green Summer Internship Booklet.