Get the free CLINICAL ELECTIVE REQUEST FORM
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Geffen Hall, Suite 200 885 Riverton Drive, Box 951720 Los Angeles, CA 900951720 Phone: (310) 2060434 Fax: (310) 7949574SPECIAL ELECTIVE REQUEST FORMSpecial Electives are only permitted with the approval
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How to fill out clinical elective request form
How to fill out clinical elective request form
01
Obtain the clinical elective request form from the appropriate department or office.
02
Fill out personal information such as name, contact information, and student identification number.
03
Select the desired dates and department for the elective.
04
Obtain the necessary signatures from a faculty advisor or preceptor.
05
Submit the completed form to the designated office or department for processing.
Who needs clinical elective request form?
01
Medical students or healthcare professionals who are planning to participate in a clinical elective at a hospital or healthcare facility.
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What is clinical elective request form?
The clinical elective request form is a document that allows medical students to request permission to participate in clinical rotations or electives at a healthcare facility.
Who is required to file clinical elective request form?
Medical students who wish to participate in clinical rotations or electives are required to file the clinical elective request form.
How to fill out clinical elective request form?
To fill out the clinical elective request form, students must provide their personal information, desired elective details, preceptor's information, and any other required information.
What is the purpose of clinical elective request form?
The purpose of the clinical elective request form is to formally request permission to participate in clinical rotations or electives at a healthcare facility.
What information must be reported on clinical elective request form?
Information such as personal details of the student, desired elective details, preceptor's information, and any other required information must be reported on the clinical elective request form.
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