Employee Exemption Form  Logo
  • Employee Exemption Form

    For Current LVHN Employees ONLY - For LVHN Employees enrolled in an academic program affiliated with Lehigh Valley Health Network and will be completing clinical/non-clinical hours or a research/quality improvement project through Lehigh Valley Health Network please complete this exemption form.
  • **This form is the the only documentation employees need in order to rotate at LVHN. Employees DO NOT need to complete health clearances or background checks. Employees, as a student, you must follow student/school policies and wear your school ID Badges. You are also strongly advised to check LVHN's Academic Partners Intranet page before enrolling in a school program to ensure that LVHN has an Affiliation Agreement with your preferred school. Establishment of new affiliations is not guaranteed. If you are completing a research or quality improvement project for your academic program, please visit the NORI Intranet page for more information.**

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