RasGuides: *School of Health Sciences*: Clinical Forms

Clinical Forms

Below you will find the most up to date clinical forms for your Clinical Binder. Make sure to have a few extra forms with you at all times (you never know when a competency exam will be available, or if you will make a mistake, or need a second page, etc.).

Master Competency Tracker
You were introduced to this form in Radiographic Positioning and Anatomy I and should be updating it as you develop new skills throughout the Program. It is provided again here in case you misplaced your original.
Patient Care Skills Check List
You were introduced to this form in Radiographic Positioning and Anatomy I and should be updating it as you develop new skills throughout the Program. It is provided again here in case you misplaced your original.
Clinical Site Orientation
Progress Milestone Tracker
Repeat Log
Site Communication Form
Student Clinical Performance Evaluation Form
Student Clinical Timecard Verification
Student Self Evaluation Form
Student Request For 10+ day or 40+ Weekly Program Hours
Blackboard Clinical Assignment Grade Exemption Form

Clinical Activity Logs

Daily Clinical Log
Daily Clinical Log (Minnesota)
Running Competency Log (Minnesota)
Patient Contact Log
for Radiologic Technology Practicum I, II, and III

Clinical Competency Forms

Clinical Binder Evaluation

Clinical Binder Check
for Radiographic Positioning and Anatomy I, II, and III

For further questions regarding Clinical experience and requirements, please contact your program coordinator. The directory can be found here: Academic Directory - Rad Tech

Immunization Medical Contraindication Accommodation: