Cerner Shadowing Session Application Form (For Teacher) Teacher please fill out the following form. RHPS Physicians Cerner On-Site Shadowing Form-Teaching Physician 1. Name of teacher * 2. Name of learner * 3. Date & time of the shadowing session (e.g. June 15th, 2024, from 1 - 3 pm) * 4. Location of the shadowing session * 5. I, as the teacher, hereby confirm that I am not receiving any payment from another source during the session, and I am doing the teaching while not on a scheduled shift and coming in on my own time (i.e. no MSP or any other payment or stipend). * Click here to confirm 6. I, as the teacher, confirm the location of the shadowing session is true. * Click here to confirm 7. I, as the teacher, confirm the date and time allocated to the shadowing session are true. * Click here to confirm Submit If you are human, leave this field blank.
