My Recently Visited Services

Please use this form to request a 30-minute student appointment with a Rotations Coordinator.(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)

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.

Notify IT of an issue with SharePoint.

If you have any questions about your Time-off Request (existing, planned, or considered), use this form. Do NOT use this form to request time off! Use the TOR form on SharePoint for that purpose.

Please use this form to submit a Student Scheduled rotation confirmation.(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.

Elentra is a cloud-based integrated teaching and learning platform that is utilized by a number of colleges on campus.

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

Request a meeting with CPM Rotations for help with the application process, or with Drs. Nouvong or Labovitz for advice selecting Externship/Clerkship programs.

Please submit any questions or concerns regarding grades

Submit a request if a program advises you they do not have a current agreement with WesternU CPM

For issues related to clinical systems or processes.

Change of Address

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

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

Report an IT incident. An incident is considered an unplanned interruption to an IT service or reduction in the quality of an IT service.

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)

Use this Banner Security Audit request to obtain Power User Approvals