Clinical Rotations Inquiry Please enable JavaScript in your browser to complete this form.Name *FirstLastPhone *Email *School AffiliationProgram of StudyHave you already identified and confirmed a preceptor?YesNoIf yes, please provide more info below (name, discipline, location):In which discipline are you seeking a clinical rotation?MD/DOPharmacyPhysical TherapyDentalDieticianNursingMedical AssistantBehavioral HealthOther (Please describe in comment field below).Other: Anticipated Start Date:Anticipated End Date: Estimated # of hours needed for completion:Are you interested in doing your rotation in a rural community (Pima, Cochise or Santa Cruz counties)YesNoPlease describe your ties to Arizona and include any other information you would like us to know. CommentSubmit
