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Patients and Guests

Onboarding for General Volunteers

Thank you for your willingness to help administer the COVID-19 vaccination at UAMS.

Before filling out the form below, you will need to review the following files.

COVID-19 Waiver FormDownload
Fire and Safety RACE – PASSDownload
Infection ControlDownload
Photography Release AgreementDownload
UAMS Confidentiality Policy 2.1.01Download
UAMS HIPAA Level I Training FormDownload
UAMS HIPAA Volunteer Training AcknowledgmentDownload
UAMS Incident Injury Reporting Policy 11.4.01Download
What is Culture SmartDownload
Volunteer ContractDownload
Volunteer Handbook (Revised 01.31.2018)Download

Once the files above have been reviewed:

  1. Electronically sign and submit the Confidentiality Agreement.
  2. Fill out the form below.

Onboarding for General Volunteers

  • Name * Required
  • Digital Signature * Required
    By checking this box, I acknowledge that I have read each document in its entirety and that I am choosing to sign this form digitally.