Centra Health

Home > Services > Application


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

Laytoya Farmer
Administrative Assistant
434.200-6294 (office)

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