Application

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Application

To apply, download the application here, then email or fax the completed form to:

Michelle Davis
Department Assistant
434.200-6143 (office)
434.200.5213(fax)
Email: davimi9@centrahealth.com

Prior to application approval, your medical school will need to provide the following:

  • Letter approving your clerkship
  • Letter indicating that you are a student in good standing
  • Proof of liability insurance carried by your medical school
  • Immunization records 
  • Performance evaluation process

For more information, call 434.200.6143, between the hours of 9:00 a.m. and 4:30 p.m. EST