My Recently Visited Services

For issues related to clinical systems or processes.

Notify IT of an issue with SharePoint.

This form is to be used by Students, Faculty, and Staff to request a GraphPad license.

For Student, Employee, and External User (non-WesternU) EHR Account Requests (new account, password reset, account unlock, etc).

For Technical issues with EduRotations

Please submit any questions or concerns regarding grades

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

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

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

Submit results of any immunizations completed. Please note, you must also attach proof that you submitted a copies to Student Employee Health via Stu-Emphealth@westernu.edu

Add and Drop Classes

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)

Please use this form to request COMP Scheduled rotation sites or preceptors.(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.

Request New, Change or Remove a DNS entry.  Internal or External.

Submit a service request for Clinical Support

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

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

Please use this form to submit any questions about the Pre-ICE Week Events.(Clinical Rotations-COMP)