4th Year Clerkship Schedule Change/Request
Fourth year medical students use this form to make a schedule change request. No changes will be made if the clerkship begins within four weeks of the request. You will receive the decision of your request by email.

Please do not use this form to submit patient-related information. If you have a medical emergency, please do not use this form. Please call your doctor or go to the nearest emergency room immediately. By submitting this form, you are agreeing to our Terms of Use.

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