|
About ORPCE |
Student Placements
| Housing |
Contact ORPCE |
Preceptor Opportunities
ORPCE Forms
The following forms are available
in printable format. These forms require Adobe Acrobat Reader to
open. Please print and complete the form and submit it to
Wake AHEC. If Acrobat Reader is not installed on your computer,
click this link to download it.
Community Primary Care Rotation form
Preceptor Profile*
Practice Profile*
Substitute W-9* (For
Preceptor reimbursement.)
NC AHEC ORPCE Community Rotation Evaluation *
*
Upon completion, the forms may be submitted to Wake AHEC
by fax at (919) 350-0470 or
mail to Wake ORPCE, 3261 Atlantic Avenue, Suite 212, Raleigh, NC 27604-1657.
|
