My Recently Visited Services
Please use the associated form to submit any clinical related requests
Please use this form if you have any questions regarding your grades or evaluations.(Clinical Rotations-COMP)
Please use this form to submit a Student Scheduled rotation confirmation.(Clinical Rotations-COMP)
For Student, Employee, and External User (non-WesternU) EHR Account Requests (new account, password reset, account unlock, etc).
Use this Banner Authorization Form to request new or modified access to Banner.
If you are considering a leave of absence, or have questions about your current LOA, use this form to schedule a meeting with Dr. Park.
Please use this form to request a new preceptor. (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)
This form is to request desktops, laptops, tablets, monitors, printers/scanners, phones, accessories, and Audio Visual related items
Request assistance with application for ADA Accommodations on the board examination. You should not apply for ADA Accommodations without requesting assistance from the CPM Rotations Office
Submit a request for information on your evaluation or rotation grade. If you wish to provide preceptor name/email for evaluation, please utilize the monthly survey link instead.
For issues or questions about Zoom, MS Teams, or other technical tools.
Also, this is the ticket to use if you are having technical issues DURING an IPE session. Help is standing by.
Rotations lottery scheduling priority will be given to students who are primary care givers to a child/children.
An SSL Certificate is a type of digital certificate that provides authentication for a website and enables an encrypted connection.
Submit a report for any issues related to a medical device or equipment within a clinic
Questions regarding the student curriculum schedule or specific lectures