Observers under 18 years of age, not enrolled in a University of Florida or affiliated student program, are prohibited from observing or shadowing in patient care areas.
Observer (Shadow) opportunity available for current dental students. Approved observers are time-limited to 21 consecutive calendar days or less. Observers may only watch from a position that does not interfere with patient care. They are not allowed to help with procedures or wheel patients.
Student observers are required to complete and submit the following to Patty Carpenter
- Request to Observe Patient Care Form for Students (directions below)
- HIPAA for Visitors and Vendors (directions below)
- UF Confidentiality Statement (directions below)
- Photo copy of Gator 1 Card/UF ID
- Photo copy of Driver’s License
- Copy of CV/Resume
- Current Physical Address, Phone Number, and Email Address
Observe (Shadow) Request Application Instructions:
- Open the Request-to-Observe-Patient-Care-Form
- Complete the top half of the Request to Observe Patient Care Form for Students
- Print the Request to Observe Patient Care Form for Students in COLOR
- Sign your name where indicated with yellow highlight approximately in the middle on the left side of the page
- Scan the signed application in COLOR (Please be sure to scan a clear application that is not warped or skewed)
HIPAA and Confidentiality Statement Instructions:
- HIPAA & Privacy – General Awareness (PRV800) – https://reg.distance.ufl.edu/reg/Activity/Details/61302E3F09CD44429D6EF5CEB186CD2D
- Health Information Confidentiality Statement – http://privacy.ufl.edu/uf-health-privacy/confidentiality-statement/
- Print, sign, & scan the Confidentiality Statement with your completed HIPAA Certificate