Medical Students (MD, DO, PA, NP)

Student Affiliation Program - Medical, PA, NP, NNP, FNP Students

Definition: A formal program of study in which the resident or medical student is currently enrolled in an school sponsored, credit class or program and is seeking a rotation at Community Medical Center. A formal affiliation agreement between the school and the facility has to be in place for this program. Please contact the Student Coordinator at (406)327-4009  if you have any questions about an agreement for your school.

Note: If you are a Nursing Student - please find your needed documents here.

An affiliation agreement needs to be in place to go forward with a student placement for educational rotations. This can sometimes take some time. Please contact us as soon as possible to ensure an agreement is current and in place well in advance of an educational experience. This cannot be done by the individual departments and must be approved by the Student Affiliations department.

Paperwork, Documentation and Requirement Information for Rotations

Please review the attached documents that include the requirements for doing an educational rotation at Community Medical Center

Resident and Medical Student Instructions:

Residents PGY2 or above require a resident physician license.  This can be found at under the “Forms” link, then under “License Application Forms”. 

  1. Review Western MT Student Checklist/Orientation Manual (Read only)
  2. Parking Map for Students (Read only)
  3. Pharmacy Orientation Packet (Read only)
  4. Tobacco Policy (Read only)
  5. Access HealthDox (Read only)
  6. Student Checklist (Print and return)
  7. Background Check/Release Form (Print and return)
  8. External CERNER Access Form (Print and return)
  9. CMC HIPAA Privacy and Security Training (Print, sign, and return - last page)
  10. Statement of Responsiblity and Confidentiality Forms  (Print, sign, and return - 2 pages - sign both pages)
  11. Healthstream Modules-Please Click HERE-Online Modules (Students who work more than 160 hours only)

Fill out Background Release Form in case we need to get a copy of the background check from the school for an audit or submit a copy of the background check with the Background Release Form. In some cases, the school may not provide a background check for students/residents. If this is the case, the student/resident will be responsible for providing a criminal background check along with exclusion list checks from  the national sexual offender registry search Pleas.e check with your school contact to see if this is your responsibility to avoid delays in starting your student experience with Community Medical Center.

Any documents that need to be filled out (not including the documents that were for review only) will need to be turned into Medical Staff Services to obtain your CMC ID Badge prior to the start of a rotation. Feel free to scan and email the documents to or if you prefer you can fax them to the secure fax line in the Student Coordinator's office at (406)327-4039.

School Instructions:

  1. Review Western MT Resident/Student Checklist/Orientation Manual (Read only)
  2. Fill out School Checklist (Print and return)
  3. Fill out Immunization Form (Print and return)
  4. Please include a "letter of good standing" -for all medical students include type of rotation, rotation dates and preceptor
  5. Please include a liability insurance certificate
  • Please e-mail a list of all your students names for Cerner access and the requested rotation.  Please call Soua Lee  at (406)396-7571 if you have any questions regarding Cerner (Electronic Medical Records) at Community Medical Center.
  • Fill out the school portion of the Background Release Form after the student has filled out their portion of the form unless the student is providing a copy of the background check with the release form. The background must include a national sex offender search and an exclusions list check as well as the national criminal background check.
  • Any documents that need to be filled out (not including the documents that were for review only) will need to be turned in to Medical Staff Servcies to receive CMC ID Badge and prior to the start of a rotation. In order to process the badges in a timely fashion and prevent you from having long waiting times, please schedule with Medical Staff Services.  Medical Staff Services can be contacted at (406)327-4039 or Upon completion of the clinical year, identification badges must be turned in to Medical Staff Services and will be reissued if the student returns. 

Contact Information

Heidi Zito, CPCS, CPMSM

Medical Staff Coordinator

PH: 406-327-4039

FX: 406-327-4502327-4502