Request for Observation

Observation experiences at Scottsdale Lincoln Health Network are a great way to learn about a specific department or job at Scottsdale Lincoln Health Network. To maximize the experiences of patients and observers, observational periods are usually four hours in duration. Observation experiences are "hands-off" opportunities, regardless of an individual's training or education and are usually limited to no more than one shift of observation.

**Please note, if you are seeking a possible experience with a physician, PA, or post-baccalaureate nurse (such as a nurse practitioner), please contact Scottsdale Lincoln Health Network's Graduate Medical Education department at 480-323-3776.

To be considered for a potential experience, please complete the application below. When identifying three possible observation dates, please select dates that are at least two weeks after the date that this form is submitted.

Your Information

Observation information
I am available on these dates and times:


School Information (if applicable)

When I click "submit" below, this form will be delivered electronically to the requested site's Student Placement Representative. This form must be received at least two weeks before requested observation date. If your request is approved, an observer orientation will be coordinated. Proof of either a current negative TB skin test or a negative chest X-ray performed and flu shot in the last 12 months are also required for all approved observation experiences. Proof of these requirements must be shared with the Student Placement Representative.

By checking here, I acknowledge that the above information is accurate. I also authorize that this completed form and any additional relevant information may be shared with Scottsdale Healthcare staff members for the sole purpose of networking and possibly fulfilling my request for observation. Observation experiences will not be granted in the following areas: CVICU, ED, ORs, NICU, and Forensic Nursing.

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