Educational Affiliation

Student & Faculty Information

IU Health requires all students/faculty to provide certain information prior to starting an educational rotation. The required information is as follows:

1. Complete a background check that includes a national criminal check, a check of sex offender registries and a check of the federal exclusions lists. Access a full list of criminal offenses which make a student/faculty member ineligible to participate in an educational experience. 
2. Have the following vaccinations: MMR: measles, mumps, rubella; Tdap: tetanus, diphtheria, pertussis; annual influenza; Hepatitis B (or declination form); and varicella; or show appropriate antibody titers.
3. Has had a TB test within the last 12 months.
4. Have successfully passed a drug screen.
5. Has a current American Heart Association CPR/BCLS card if required by the clinical area where the experience will be conducted.
6. Have completed either quantitative or qualitative fit testing for a N95 respirator (only applicable if student will be working in a negative pressure room). 
7. Student/Faculty must possess his/her own health insurance.

Student must provide verification of the above items by completing the Clinical Student Validation Form and submitting required documentation when requested by IU Health.

• Clinical Student Validation Form
• Purchase a Background Check

Current Educational Affiliation Agreements

Download and view the files below to see the current agreements in place with each IU Health entity:

• Anesthesiologist Assistant, Nursing & Advanced Practice Affiliation Agreement Matrix
• Allied Health Affiliation Agreement Matrix

If you have questions about current agreements, please send an email to IUHAffiliationAgree@IUHealth.org.

Request for New Educational Affiliation Agreement

If the matrixes above do not indicate an agreement is already in place for a particular school or program, complete the request form below.

Office representatives will work with Academic Affairs leadership and the clinical area to determine if requests can be granted. If an agreement can be granted, the contact person from that office will coordinate the processing/negotiations of the educational affiliation agreement with the educational institution.  This process will utilize the current IU Health Educational Affiliation Agreement template that has been approved by IU Health Legal Services.

Request for Educational Affiliation Form

Contact Information by Educational Programs

Anesthesiologist Assistant, Midwifery, Nursing or Physician Assistant

Office of Clinical Education
Indiana University Health Methodist Hospital
Wile Hall
1812 N. Capital Avenue, W322
Indianapolis, IN 46202
Telephone: 317.962.5048
Toll Free: 844.384.0064
OCE@iuhealth.org

Allied Health Professions (includes any program not specifically listed)

Health Sciences Education
Indiana University Health Methodist Hospital
Wile Hall
1812 N. Capital Avenue, W629
Indianapolis, IN 46202
Telephone: 317.962.5470
FAX:  317.962.2102
IUHAffiliationAgree@IUHealth.org

Medical Students or Residents

Center for Physician Education
IU Health Methodist Hospital, B342
I-65 at 21st Street, P.O. Box 1367
Indianapolis, IN 46202
Telephone: 317.962.2222
iuhealthcpe.org
docs@iuhealth.org

Questions?

Contact OCE@iuhealth.org