Clinical Forms

Unity Point-Des Moines - This includes Iowa Methodist Medical Center, Iowa Lutheran Hospital, Blank Children's Hospital and Methodist West Hospital. Please read the entire packet. Pages 13 & 14 need to be printed and fill out completely. 

Unity Point-Des Moines Student Manual

Mercy Medical Center-Please read both documents. Print and complete all documents requiring additional information. Please bring completed forms to first clinical experience.

Mercy Clinicial Information Packet
Mercy Information Forms

Broadlawns Medical Center- Please complete the proper application and await further instruction from your course instructor.

Broadlawns Student Intern application-The intern application is used for the following certificates: Unit Clerk Certificate, Sterile Processing, and Patient Access.

Broadlawns Orientation Packet
Broadlawns Student Opportunities
Broadlawns Quiz
Broadlawns Student Application

If you have questions regarding these forms please contact Jaime Haub at 515-256-4906 or