The Pediatric WWAMI Medical Student Program will contact you via email approximately 5-6 weeks prior to the start of your rotation. This email will request that you provide the following information:
For your six week Mary Bridge Pediatric Clerkship, students will have a few days at Group Health for their outpatient experience. You are required to complete the following forms:
You are required to complete the forms 4 weeks prior, scan them and e-mail or fax them to: firstname.lastname@example.org or FAX 206-877-0649, attention:
HUMAN RESOURCES STAFFING SPECIALIST
Human Resources Operations, Group Health Permanente P.C.
PHONE 206-448-6529 | CDS 320-6529
MAILSTOP: GHQ E2N GHP HR
The following forms need to be returned to Kareena Andreas at least 3 weeks prior to the start of the rotation
Text Cell: (253) 861-1684
Fax: (253) 403-1047
MHS intake form – Please complete only the highlighted item on the form.
Housing Responsibility Form – this form is required to get your housing access
MHS HIPAA/Needle stick
Drug screen is required: a 5 panel oral drug screen must be completed prior to the start of the rotation. See explanation paragraph below
Flu vaccine required (including verification) during flu season.
For your information click on this link for a campus map.
Mary Bridge requires a 5 panel oral drug screen. You are required to complete the screening prior to the start of your rotation. You will need to communicate to Laura Ellis that you have completed your drug screen, so that she can communicate the drug testing has been completed and is negative.
You will not be able to start at Mary Bridge Health Services if you have not completed the screen and the have been communicated prior to your arrival.
On the day of arrival, you will be given a key pad code and shown where the apartment is located. If you require check in prior to the first day of your rotation, you will need to make arrangements at least one week in advance by calling Kareena Andreas at (253) 403-8684. Prior arrival may not be possible in all cases, please check prior to coming early.
Medical Student Coordinator
Pediatric WWAMI Medical Student Office
OC.7.830, 4800 Sand Point Way NE
Seattle, WA 98105
Phone: (206) 987-2063