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UKHC New Provider Orientation Registration

Please be sure to complete the provider orientation registration form in its entirety as the information will also be used for badge printing purposes. If you have any questions, please feel free to contact Enterprise Learning, 859-257-9226.

Provider Information

Will this provider see patients in an outpatient clinic?
Will this provider see patients in the hospital?
Will this provider work with radiation?
UKHC BRIC Academy is a relationship-centered communication workshop proven to enhance communication skills. Would you like the Office for Patient Experience to follow up with this provider to attend a future BRIC Academy workshop?

Learn more at the loop
Has this provider been a UKHC employee in the past (including Good Samaritan, Chandler, etc.)? If yes, please provide date of departure and provider's role at the time (e.g. resident, APRN, etc.).

Please include any additional information here.

  • Does the provider have any dietary restrictions?
  • Does the provider already have an ID Badge? If so, is it correct for their new position?
Choose an orientation session

Orientation sessions are held over three days between 8:00am-5:00pm. Schedule breakdown depends on specialty area. Note: September 3-5 session starts on Tuesday due to Labor Day holiday.

Please select one of the following sessions:

(July 1-3 is full)
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