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Standardized Patient Program Application

Baylor Scott & White Medical Center – Temple

COVID-19 vaccination required
By Oct 1, 2021, all Baylor Scott & White Health employees, providers (both employed and affiliated), volunteers, vendors, students, contract staff and Standardized Patients must receive both doses of the Moderna or Pfizer COVID-19 vaccine, or the single-dose Johnson & Johnson COVID-19 vaccine.

Application

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Per our policy, Baylor Scott & White Health requires that all employees, contractors, and independent contractors etc. have a COVID-19 vaccination.

Parent/Guardian Information

Have you ever been told that you have ...?

Personality Information

Children Information

Do you have any children? If so, please list including age and gender.

General Availability

In general, most SP activities are scheduled between 7 AM and 6 PM Monday through Friday. Please check when you are available.

If you are a student please pick up an additional scheduling form. We understand that your schedule changes often.

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