Intern Release Form

Dress Code and Behavior

It is our desire that your time at our facility is educational and enjoyable. As an intern/extern you will be representing Wisconsin Valley Veterinary Service through interactions with patients and clients, and you are expected to present yourself in a professional manor. Profanity or inappropriate conversations are not allowed. We expect all interns/externs to wear appropriate clothing for the job in which you will be doing that day. Interns/externs can wear casual dress (scrubs, jeans without holes/patches, khakis, non-revealing shirts, no shirts with inappropriate writing) while doing in-clinic rotations and barn appropriate attire for farm calls. Interns/externs are not allowed to wear shorts, skirts, shirts that show mid drift, or tank tops. Open toed shoes are also not allowed. Please dress smart, pay attention to the weather for that day and dress accordingly.

Medical Release

I, the undersigned (or parent/guardian), understand the nature of Wisconsin Valley Veterinary Service’s Internship/Externship program and the activities involved, and state that the individual named on this form is in adequate health to perform, participate, or observe the activities carried out in this program. I do ensure and guarantee to hold harmless Wisconsin Valley Veterinary Service, its staff, agents, and representatives from any responsibility for liability whatsoever resulting from the individual's actions, activities, or injury.

Confidentiality Agreement

I, the undersigned (or parent/guardian), acknowledge that as a result of my association with Wisconsin Valley Veterinary Service, may have access to confidential information of the practice, including patient identifiable protected health information. I will hold confidential all patient and practice information obtained and will not disclose any personal, medical related information, or any other confidential information to third parties during and after my time with Wisconsin Valley Veterinary Service. I am committed to protecting and safeguarding from any oral and written disclosure all confidential patient practice information of which I became aware.

Normal office hours are Monday - Friday 7:00 am - 5:00 pm. You are responsible for your own hours and making sure you have enough to complete your schools requirements. Please note that there may be some days when you could be here later than 5pm (especially when out in country) due to emergencies.