Medical Assistant Externship Time Sheet



Medical Assistant Practicum Time Sheet

Extern ______________________________________________ Week Ending _______________________________

Extern Site __________________________________________ Phone _____________________________________

Extern Supervisor____________________________________

|Date |Start Time |Lunch |End Time |Total Hours |Tasks |

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• Lunch is excluded from the total number of extern hours. You should be at your site 6-8 hours plus your lunch break.

• Remember to notify your extern site supervisor and your instructor before your scheduled extern hours if you will be absent.

Extern Signature __________________________________________________ Date ______________________

Extern Supervisor Signature ________________________________________ Date ______________________

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