CPC: Student Profile

You can either get the paper version of this form fromĀ Darlene Getz (C1613), or use the online form below.

Center for Primary Care Student Profile

This will provide introductory and contact information for your preceptor before you begin your elective.
Student Information

Applicable to housing needs
Undergraduate Education

Long Answers

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If you need assistance filling out this form, please contact the MSR Administrator.