CBCE Incident Reports

(not the same as the school’s internal report)

Complete this form to report a blood-borne exposure/injury OR any information regarding inappropriate/unwarranted events that have occurred while on your CBCE rotation.

Be sure to take your personal insurance card with you in the event the external clinic does NOT cover blood testing. Your personal insurance is to be billed first. Tracy will connect you with UM Risk Management to cover any remaining fees.

Please reach out to Dr. Tomaka (satomaka) or Tracy Darnell (tdarnell) if you have any hesitations about completing this form (i.e., it's topic of a sensitive-nature).

Request for Rotation Changes/Time Off

(NOT ABSENCES DUE TO ILLNESS)

Fill out the following link to request a change to your rotation; this must be done at least two weeks in advance of the change being requested

Absences Due to Illness

You are responsible for completing the following steps:

CALL THE CLINIC ASAP: All contact information is on our CBCE Website. Speak with the clinic as soon as you know you won't be present.

EMAIL CBCE: Send a message to Tracy Darnell (tdarnell) and cc Danielle Watts (wattsda)

COMPLETE A "REPORT AN ABSENCE" FORM: This form may be found on MiTools under the Student Tab.

**Reporting a last-minute absence is your responsibility. This process is not to be confused with requesting time off for other absences (interviews, etc.); those must still be done in advance.

For Review

Review the following documents prior to your rotation.

To be completed

The following documents must be completed before your first rotation.