UHC Clinical Preceptor Form
Thank you for your interest in precepting PA students for the University of Holy Cross Physician Assistant (PA) Program. Precepting students is a wonderful way to “pay it forward” as we train our next generation of healthcare providers. We look forward to working with you!
Primary Preceptor Name
Office Contact Name
Please list Hospital /Surgery Center/Clinic Affiliations
Check all that apply:
I am interested in being contacted about the possibility of giving a medical lecture at the PA program
I am interested in teaching a course during the didactic phase of PA training
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