My Recently Visited Services

Please use this form to request or submit documents to or from our office.(Clinical Rotations-COMP)

Please use this form to request a new hospital affiliation agreement. Please ensure that your request is submitted no later than 120 days from the start date of the rotation.
(Clinical Rotations-COMP)

Please use this form to request COMP Scheduled rotation sites or preceptors.(Clinical Rotations-COMP)

For questions about curriculum, assessments, or grades. (Note: This service is not for Time Off Requests. Please see that service below.)

Please submit any questions or concerns regarding grades

Please use this form for up to five external applications (VSAS/VSLO/Clinician Nexus) that you need released. If your application requires documents to be uploaded by your HOME institution, please indicate that for each application.(Clinical Rotations-COMP)

For Technical issues with EduRotations

Please use this form to request a new preceptor. (Clinical Rotations-COMP)

General IT Service Request. Searches for specific Service Requests are recommended before submitting a General IT Service Request. Incorrect submission of a General IT Service request may result in the Closure of the ticket with a redirect to the correct Service Request.

Please use this form to submit Student Scheduled rotation confirmations, denials, and cancellations.(Clinical Rotations-COMP)

Please use this form to submit a COMP Scheduled site or preceptor rotation request.(Clinical Rotations-COMP)

Students anticipating an absence must submit a Time-Off Request (TOR) in advance. After an unplanned absence, students must notify the IPE Team as soon as possible by submitting a TOR within one week of the absence. Supporting documentation is required.  Approval is granted on a case-by-case basis according to IPE policies. Please see the course syllabus for details.

Name Change Request

Please use this form if you have any personal concerns that you would like the Clinical Education management on the Pomona or Lebanon campus to review.(Clinical Rotations-COMP)

Process for appealing late fees assessed during a specific term.

Please use this form to submit a Student Scheduled rotation confirmation.(Clinical Rotations-COMP)

Please use this form if you have any questions regarding your grades or evaluations.(Clinical Rotations-COMP)

For Telecom related requests that are not issues (number transfer, call history, etc...)

Jury Summons Letter

Please use this form to request or submit documents to or from our office.(Clinical Rotations-COMP)

For individuals requesting remote access to the Epic (EMR) System. Note: You must have completed the required HIPAA Training (https://support.westernu.edu/TDClient/1848/Port... to be granted access to Epic and/or the Remote Portal.