Flu Shots

• Seasonal Flu Vaccine Record Form
• Seasonal Flu Vaccine Declination Form

Top Ten Links

1. Forms page
2. Faculty Online Access
3. HS Home Page
4. Schedules
5. ACC Student Handbook
6. Calendars
7. Help Desk
8. HS Directory
9. Progressive Discipline Forms
10. Room request

Clinical's/Practicum

• Affiliation Agreement
  • Request
    • (Word)
    • (PDF)
  • Out of service Area
    • (Word)
    • (PDF

• Brackenridge and Seton ID Badges
  • (Word)
  • (PDF)
• Brackenridge Parking Map
  • Word
  • PDF
• Central Texas Veterans Health Care System

• Word
• PDF
• Healthsouth

• Clinical Affiliation Agreement
  • (Word)
  • (PDF)
• Drug and Alcohol Policy
  • (Word)
  • (PDF)
  Exhibit A - Statement of Confidentiality
  • (Word)
  • (PDF)
  Exhibit B - Acknowledgement Form
  • (Word)
  • (PDF)
  Exhibit C - Release Statement Certification
  • (Word)
  • (PDF)
  HIPAA Student Training/Orientation
  • (Word)
  • (PDF)

• Scott & White
  • Student Orientation
  • Department Chair / Faculty Checklist
• Cedar Park Regional Medical Center
  • Department Chair / Faculty Checklist
• SETON Healthcare Network/St. David's Health Care/Central Texas Medical Center Partnership Clinical Rosters

• Guidelines for Contract Requirements and Student Placement
  • http://www.ctxplacement.org/documents
• University Health System Clinical Requirements

• Student Rotation and Orientaion Requirements

• New Three Step Process for Student Placement
1. "Guidepost" for Faculty/Student Orientation: Here
2. A School representative (Faculty or Placement Coordinator) is required to complete the combined online rotation and verification Form (Online Rotation Roster): Here
3. Once you complete and submit the rotation form, a conformation page will appear. Print this page and give a copy to the University Health System supervisor in the department where students will be placed.
• Preplacement Drug Screen Information
• Preplacement Drug Screen Checklist
• Preplacement Drug Screening Policy
• Approved Facilities for Preplacement Drug Screens
• Student Accident Procedures and Claim Form
• Supervisor's Injury and Illness Analysis and Prevention Report
• Sample Form
• Link to Form
• Student Accident Info Sheet
• Student Accident Claim
• Sample Form
• Link to Form
• Dental, this form is not listed under the ACC Online Forms Inventory
• Link to Form
• Medical Clearance Form (Return to Clinical)
• Medical Clearance Template
• St. David's
• Accudose Security Agreement
• Meditech Access
• Seton
• Seton Compass Faculty
• Seton Compass Student

Administrative

• Handbook Template
  • Word (2010-2011)
  • Word (2011-2012)
• Technical Standards Template

• Word
• Student Referral Form

• Eastview (Word) (PDF)
• Round Rock (Word) (PDF)
• Substance Abuse Testing for Cause

• Consent for Drug Screening

• Progressive Discipline Process

• Student Conference Form - (PDF)
• Student Probation Form - (PDF)
• Student Withdrawal Forms
• Exit Checklist (Word)
• Exit Review (Word)
• Re-entry Contract (Word)
• Interview Notes (Word)
• Peer Review (Nursing)

• Policy and Procedure
• Health Information Privacy

• Breach Notification Process
• Clinical Event Notification
• Family Educational Rights and Privacy Act (FERPA)
  • Website
  • Consent for Release of Confidential Information--for Student Services
  • Student Reference Request, FERPA Release and Release of Liability
  • FERPA Release (For department meeting with student and their guest)
• Employment Verification Form
  • Word (35 KB)
  • PDF (21 KB)
• Administrative Rules Inventory
• Employee Leave Request
• Faculty Online Access
  • FAQ for Online Services
• Faculty Evaluations
• Forms Inventory
• Duplication Form
• Key Request
• Conversion from CE to College Credit
• Quick links
• Office Hours
• Survey Monkey

Calendars

• Administrative Staff
• College
• Conference Room (EVC 8358)
• Computer Lab 9209

Help Desk - IT

• Datatel Login Request
• Email Instructions
• Help Desk Home page
• Phone Services
• SPAM Info/Reporting
• Service Request
• Online Services Request
• Documentation
• VPN Setup Walkthrough

Human Resources

• Human Resources Home Page
• Human Resources Staff
• Application for Employment
• Benefits
• Classification and Compensation
• Employment
• Forms
• Payroll
• Records
• Supplemental Check Request

Purchasing

• Contact: Melissa Tavassoli
• Phone: 223.5874
• E-mail: mtavasso@austincc.edu
• Purchasing, Health Science Division – BASIC SUPPLY/EQUIPMENT ORDERS
• For general supply orders, totals must be at least $150.00 per Vendor and per Campus to quality for Datatel entry. Complete HSPR form and e-mail to mtavasso@austincc.edu as an attachment.
• If you have an electronic quote, please forward it to mtavasso@austincc.edu. If you only have a hard copy, please bring me a copy for processing.
• Purchasing, Health Science Division – SOFTWARE ORDERS
• For software orders, there is no minimum as all software is required to process through Datatel per college guidelines. Complete HSPR Software form and e-mail to mtavasso@austincc.edu as an attachment.
• You will be provided with an electronic quote, please forward the quote to mtavasso@austincc.edu when submitting your request.
• Once your order is complete, you will receive a software link via e-mail. You must forward a copy of this link to mtavasso@austincc.edu and enter “Receipt Confirmed” in the subject line or in the e-mail text to validate your software in the HS database. Failure to do so will void your software.
• Purchasing, Health Science Division – NAME BADGE ORDERS
• For name badge orders, complete HSPR Name Badge form and e-mail to mtavasso@austincc.edu as an attachment.
• Health Sciences sets up a blanket purchase order at the beginning of the fiscal year, but once this BPO runs out each department is responsible for purchasing their own name badges with P Card until the new fiscal year begins.
• Purchasing, Health Science Division – BUSINESS CARD ORDERS
• For business card orders, complete HSPR Business Card form and e-mail to mtavasso@austincc.edu as an attachment.
• Cards can only be ordered for Health Science Division employees. If you receive a request from a non-Health Science Division employee, please refer them to Linda-Marie Schulz at 512.223.1044.
• Purchasing, ACC
• Complete General Stores form and fax to 223.1062
• Purchasing, Out Of Pocket & P Card
• Sales & Use Tax Exemption
• Petty Cash Reimbursement
• P Card Report Procedures
• P Card Missing Receipt Memo
• P Card Tax Repayment -- Transfer Slip
• Travel, In-District
• Current mileage rate as of 01.01.2011 is $0.51 per mile.
• Monthly Mileage Report
• ACC Approved Campus Mileage Chart
• Travel, Out-of-District
• Employee Leave Request
• Request for Travel
• Texas Hotel State Tax Exemption
• Travel Reimbursement

Scheduling

• Dianne Olla
  • Phone: 223.7647
  • Email: ollad@austincc.edu
• Current HS Timeline for Schedule Development--please see Karoline Gebert before submitting your 2010-2011 schedule
• Curriculum Services Committee Schedule
• Current Credit and CE Schedules
• Quicklinks
• Room Requests (Facilities & Operations Form)
  • Word
• Textbook Inventory
• Schedule Development
• WECM/GIPWE
• Curriculum Management System
• Distance Learning Course Approval Form