Student Resources - Robert J. Dole VA Medical Center
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Robert J. Dole VA Medical Center


Student Resources

Dear Student:

Welcome! Thank you for choosing the Department of Veterans Affairs Robert J. Dole VA Medical Center (VAMC) as your clinical training/education site. For over 75 years, the Dole VA Medical Center has been honored to serve Kansas area Veterans. The Dole VA provides a full range of primary, specialty, acute and extended care services to Veterans in 59 counties of Kansas. To aid in extending our care beyond the Wichita area, we have six Community Based Outpatient Clinics (CBOC's) located strategically throughout Kansas to provide care to those Veterans living in rural areas. The driving force behind the high quality of care delivered at the Dole VA is our mission statement:

"To improve the health and well-being of the Veterans we are honored to serve."

Not only do the employees within the facility honor this commitment, but the students who provide care are also expected to honor this as well. You will be representing your educational institution while you are here and as such you will be expected to perform your duties as professionals.

Before you begin your clinical experience, there are several steps outlined below that must be completed prior to your anticipated start date. If you have any questions, please feel free to contact the Point of Contact (POC) for your educational program as indicated below. Thank you for your time and hope to see you soon.

Jeremy Pozzi, MSN, RN

Nurse Educator
Affiliations Coordinator

(316) 685-2221 ext. 58003

Fax: (316) 688-6894

Student Point of Contact:

Registered Nurse, Practical Nurse, Nurse Practitioner, Medical Assistant, Nursing Assistant, Surgical Technician

Mary Schmidt

Affiliations Coordinator,

Administrative Officer

(316) 685-2221 ext. 51144

Fax: (316) 688-6894

Student Point of Contact:

Respiratory Therapist, Radiologists, Optometry, Phelbotomy Technician, Surgical Residents and Students, Internal Medicine Residents and Students, Dental Hygiene, Occupational Therapy, Physical Therapy, Occupational Therapy Assistant, Physical Therapy Assistant, Speech Language Pathology, Audiology, Dietician, Physician Assistant, Pharmacy, Pharmacy Technician, Social Worker, Radiology Technician, Psychology Students, Psychology Interns, Clinical Therapists

The process for access to our facility can look like a daunting one. However, please understand you will have the opportunity to care for our nation’s finest, our Veterans.

The following provides a checklist of the required documents and to whom they need to be presented.

First, you or your Clinical Site Coordinator/ clinical instructor need to contact your VA point of contact of your anticipated start date and ascertain there is an affiliation agreement with your institution. The VA MUST have an affiliation agreement prior to you starting any rotation in the VA system. An Affiliation Agreement can take up to 90 days to acquire. Contact Patricia Stotts, Affiliations Coordinator (316) 685-2221 ext. 54650 to determine if your institution has an affiliation with the VA.

Second, your university or college will need to complete the TQCVL form and TQCVL List of Trainees which will then be submitted to the Point of Contact a minimum of 45 days prior to start date. Please e-mail Completed TQCVL documents to your Student Point of Contact. 

All H
ealth Professions Trainees (HPT) must be screened against the Health and Human Services’ List of Excluded Individuals and Entities (LEIE) The LEIE is an OIG compiled list of individuals who are currently excluded from participation in Medicare, Medicaid and all other federal healthcare programs. HPTs found on the LEIE are NOT eligible for VA appointment. Please print documentation of your search and include when submitting the TQCVL forms

Third, You must contact the HR Department at (316) 685-22TQCVL form21 ext 57968 to set up an appointment for fingerprinting. This needs to be done at least 45 days prior to your anticipated start date. If your clinical starts in January, please allow additional time for processing.

Biometrics Information

This form needs to be submitted to your VA point of contact.

Biometrics Form

Please fill out ALL blanks electronically if possible. If you are unable to complete the forms electronically, then print the documents and fill in the rest of the spaces using a pen. Please ensure that all information is legible.


Open the Without Compensation Form (WOC) by clicking on it. Please fill out ALL blanks electronically if possible. If you are unable to complete the forms electronically, then print the documents and fill in the rest of the spaces using a pen. Please ensure that all information is legible.

Without Compensation Form (WOC)

The Without Compensation (WOC) form must have the following information: Required information is marked in Yellow

  1. Service Team is the Department you will be working in. (e.g. Radiology, Nursing etc.)
  2. Your student full name
  3. The area of your clinical education (e.g. Student nurse, Internal Medical resident)
  4. Clinical start date and end date
  5. Name of service team
  6. Social Security No
  7. Date of Birth
  8. Signature
  9. Date completed
  10. Veteran Status – circle one
  11. School Affiliation (name of your school/university)
  12. Type of program
  13. Program Title (degree title)
  14. WOC Position Title (i.e., Student Nurse, Student Nurse Practitioner, Student Physician Assistant, etc.)
  15. Approximate total hours scheduled to be at VAMC

Safety/Policy Orientation

Open the Safety/Policy Orientation webpage located below by clicking on the link. Please read through the information and then complete the Safety/Policy Orientation Checklist. Instructions for completing this form are located at the top of the checklist. Please print off checklist and turn in as part of your packet.

Safety/Policy Orientation

Mandatory Training for Trainees

This step-by-step manual will guide you through the procedures for completing your Mandatory Training for Trainees. Please follow the steps as outlined. If you have any difficulties with any of the following processes please contact the VA TMS Helpdesk under the “Contact Us” tab or Dean Rhein, his contact information is located below. Please print off the 3 training certificates and turn in as part of your packet.

Creating a TMS Account

(316) 685-2221 ext. 58113

Assignment of Functional Category

Complete highlighted areas, print and turn into Point of Contact as part of your packet.

Influenza Vaccination

All Students are required to obtain an influenza vaccination. Please provide a copy of your vaccination to the Point of Contact by November 1st.

COVID-19 Student Attestation

Please clearly print your name and sign.

After completing the above forms please bring them to the Point of Contact when you come for your finger printing appointment. If you have a clinical instructor, they may collect the forms and submit them to the Point of Contact prior to finger printing. Please allow at least 1 hour for finger printing and completing additional documentation.

Robert J Dole VA Medical Center and Regional Office Parking Map

Below you will find a map of the Robert J Dole VAMC Campus. On this map you will see the Education Department and Human Resources Department have been identified in red. You will also find the main entrance of the hospital indicated by a red square. This is a standard place for you and your VA POC to meet on your first day here at the facility.

Also on the map please note the parking areas that are reserved for employees. These are the areas in which you will be expected to park in unless otherwise instructed by your VA POC.

Human Resources is located in Building 61 (Regional Office Building) located around the back side of the Medical Center. When entering the building please turn left and follow the hallway around the corner and you will see the blue sign for Human Resources.

Education is located in Building 6 and is located across the street from the Wichita Fire Department on Edgemoor St.

image of the map of the Dole VA Medical Center & Regional Office