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.)

* 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.