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    PARENTAL CONSENTfor BSN Students - Final Revised

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    Laila Espinosa
    1) Gordon College's College of Allied Health Studies is conducting limited face-to-face clinical duties as part of their nursing program's required learning experiences. 2) Nursing students can choose whether to participate in the clinical duties, but non-completion may delay their board exams or graduation. 3) Parents must provide consent for their child to participate, acknowledging the risks, or choose for their child not to participate and understanding the graduation implications.

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    PARENTAL CONSENTfor BSN Students - Final Revised

    Uploaded by

    Laila Espinosa
    29 views1 page
    1) Gordon College's College of Allied Health Studies is conducting limited face-to-face clinical duties as part of their nursing program's required learning experiences. 2) Nursing students can choose whether to participate in the clinical duties, but non-completion may delay their board exams or graduation. 3) Parents must provide consent for their child to participate, acknowledging the risks, or choose for their child not to participate and understanding the graduation implications.

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    PARENTAL-CONSENTfor-BSN-students_final-revised

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    1) Gordon College's College of Allied Health Studies is conducting limited face-to-face clinical duties as part of their nursing program's required learning experiences. 2) Nursing students can choose whether to participate in the clinical duties, but non-completion may delay their board exams or graduation. 3) Parents must provide consent for their child to participate, acknowledging the risks, or choose for their child not to participate and understanding the graduation implications.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    29 views1 page

    PARENTAL CONSENTfor BSN Students - Final Revised

    Uploaded by

    Laila Espinosa
    1) Gordon College's College of Allied Health Studies is conducting limited face-to-face clinical duties as part of their nursing program's required learning experiences. 2) Nursing students can choose whether to participate in the clinical duties, but non-completion may delay their board exams or graduation. 3) Parents must provide consent for their child to participate, acknowledging the risks, or choose for their child not to participate and understanding the graduation implications.

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    © All Rights Reserved
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    GORDON COLLEGE

    College of Allied Health Studies


    Tapinac Oval Sports Complex, Donor St., East Tapinac, Olongapo City

    PARENT CONSENT

    The Gordon College-College of Allied Health Studies will be conducting the Limited
    F2F clinical duty as part of the Related Learning Experiences as prescribed in CHED-DOH
    JMC No. 2021-04
    In connection with this, Gordon College-College of Allied Health Studies is engaging
    the nursing students to participate in the Limited Face-to-Face Implementation of RLE for this
    academic year. The nursing students can decide whether to participate or not in rendering
    clinical duty however, as stipulated in legal issuances of CHED and PRC, non-completion of
    the prescribed requirements/cases upon graduation may cause delay or non-acceptance in taking
    the board exam and shall be subjected to further evaluation as stipulated in the graduation
    requirements of the institution.
    Gordon College-College of Allied Health Studies emphasizes that the participation of
    the said clinical duty is NOT being required by Gordon College-College of Allied Health
    Studies and is only open for Nursing students who are willing to partake in the said clinical
    duty.
    By answering the questions below, the undersigned understands the conditions of
    participation or NON- participation of the said clinical duty. Please check the box of your
    choice to show intention whether to participate or to NOT participate in the said clinical duty.
    Participation or NON-participation should be voluntary.

    I AGREE AND ALLOW my child to participate in the Clinical duty in Gordon


    College-College of Allied Health Studies ____(date)_____ as part of the Related Learning
    Experiences intended for the completion of actual RLE cases required for graduation . I am
    FULLY AWARE that if I AGREE in the participation of my child in the clinical duty in the
    affiliating hospitals/other affiliating units of Gordon College-College of Allied Health Studies, I
    FULLY UNDERSTAND the policy agreement of Gordon College-College of Allied Health
    Studies, its risk factors and will NOT hold Gordon College-College of Allied Health Studies,
    Affiliating hospital/other affiliating units and any of its member liable and accountable, should
    I allow my child to participate in the clinical duty .

    I DO NOT AGREE and DO NOT ALLOW my child to participate in the


    Clinical Duty in Gordon College-College of Allied Health Studies for __(date)______ even if it
    is a part of the Related Learning Experiences requirements for completion of actual cases.
    Furthermore, I am FULLY AWARE AND I FULLY UNDERSTAND that if I DO NOT
    AGREE in the participation of my child in the clinical practicum, my child will NOT be
    able to complete actual RLE cases required for graduation.

    I DO NOT AGREE and DO NOT ALLOW my children to participate in the


    Clinical Duty in Gordon College-College of Allied Health Studies for
    ___________(date)______due to the following reasons:
    ____________________________________________________________________________
    ____________________________________________________

    I hereby attest that by signing this, I fully understand the conditions and consequences
    of my choice. I am NOT holding the LGU,Gordon College and College of Allied Health
    Studies liable of my choice. Furthermore, I have signed and showed my intention through this
    consent willingly and voluntarily and I am completely responsible of my own decision.

    ________________________ ________________________
    Signature over Printed Name Date

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