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Medical Staff, Students and Observers



Welcome to the Bon Secours Charity Health System. We sincerely hope that you have an enriching experience with us. Select the appropriate categories on the left side navigation or the tabs above and complete modules and associated paperwork as directed. Feel free to contact us if you have any questions. We look forward to meeting you.

For Medical Staff Observation, Internships and Clinical Rotations, please contact:

Unfortunately, we cannot accommodate international students at this time.

Medical Student Education Coordinator
Medical Staff Services

Bon Secours Charity Health System
255 Lafayette Avenue
Suffern, NY 10901
Office: 845.368.5585
Fax: 845.368.5938 

Charity_MedStudent@wmchealth.org

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Medical Staff, Clinical Rotation Students Process

Welcome to the Bon Secours Charity Health System, Medical Staff Services Department. We sincerely hope that you have an enriching experience with us. Please make sure that all appropriate paperwork is completed as directed below. We look forward to meeting you.

*** ATTENTION CLINICAL ROTATION STUDENTS ***

Unfortunately, we cannot accommodate international students at this time.

All Clinical Rotation students must return the required paperwork to the Medical Staff Office 4 weeks prior to their rotation. After the paperwork has been submitted, kindly contact the Onsite Clinical Director to discuss your start date.  Please complete the following steps:

STEP 1: Review all documentation below and provide confirmation in the Cover Sheet within the Clinical Rotation Application form packet under Step 2.

STEP 2:  Complete and return the Clinical Rotation Application forms.  ***NOTE:  Please DOWNLOAD the PDF and open it with Adobe to be able to sign ***

STEP 3: Provide the following documentation

  • Letter of Good Standing from your school
  • Most recent physical examination report including immunization details
  • PPD Results (within one year)
    • If PPD positive, a Chest X-Ray report must be included
  • Rubella Titre
  • Rubeola(Measles) Titre, if born after 1/1/57
  • Proof of Flu Vaccine if clinical rotation is between September - April (submit the provider sheet which includes the lot #, provider details, etc.)

Submit ALL required paperwork via Email or Fax

A representative from Bon Secours Charity Health System will contact you after receiving your paperwork.

Submit all forms to: Good Samaritan Hospital

Medical Student Education Coordinator 

Charity_MedStudent@wmchealth.org

Office: 845.368.5585
Fax: 845.368.5938


Medical Staff, Observer Process

Welcome to the Bon Secours Charity Health System, Medical Staff Services Department. We sincerely hope that you have an enriching experience with us. Please make sure that all appropriate paperwork is completed as directed below. We look forward to meeting you.

*** LICENSED INDEPENDENT PRACTITIONERS ONLY ***

Return the required paperwork to the Medical Staff Office four weeks prior to requested observation date.

Clinical Rotation Application Forms | Download Here

*** NOTE: Please download the PDF and open it with Adobe to be able to sign. ***

Submit ALL required paperwork via email or fax.

A representative from Bon Secours Charity Health System will contact you after receiving your paperwork.

Submit all forms to:

Good Samaritan Hospital
Medical Student Education Coordinator 
Charity_MedStudent@wmchealth.org
Office: 845.368.5585
Fax: 845.368.5938