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I attest by my signature on this form that I have read, understood and will abide by The Christ Hospital Medical Staff/Allied Health Practitioner’s Code of Professionalism. I also attest to having completed The Christ Hospital Orientation. If I have any questions concerning matters set forth in the Code of Professionalism or the orientation, I will seek assistance from Medical Staff Services.

Please answer the following questions acknowledging your completion of The Christ Hospital Physician Orientation Manual.