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Program Director
Clinical Coordinator
Medical Director

Clinical Coordinator

Instructions for Clinical Coordinator, Temporary Clinical Coordinator -or- Acting Clinical Coordinator Personnel Change

 

 

If you have a personnel change that is reference to a new Clinical Coordinator, Temporary Coordinator, or Acting Coordinator, Please complete the following (4) Steps.

 

1. Complete This "Change in Program Personnel" Template and put on your Program Letterhead.

 

2.    Provide a copy of the institution's Letter of Appointment and Acceptance

       This letter must contain the following (3) items:                                      

  • Signed by the President/CEO -or- Dean/Administrator                           

  • Position Title

  • The effective (start) date

PLEASE NOTE: If you do not have a  "Letter of Appointment and Acceptance"  and need to create one, you may use this template.

 

3.    Provide a copy of the Clinical Coordinator's CV.

 

4.     Please mail all (3) completed  documents to: 

    

       

CoAEMSP

Karen Franks

4101 W. Green Oaks Blvd.

Suite #305-599

Arlington, TX  76016

 

 

 

 

 

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