Clinical Rotation Request

Summit Medical Group is currently accepting applications for students currently enrolled in programs for training as a Physician Assistant, or Advanced Practice Nurse who have an interest in completing rotations within a multispecialty group. Summit Medical group has a number of skilled, knowledgeable, and dedicated clinicians who love to teach working in primary care as well as multiple medical specialties. If you are interested in applying please complete the application form below. We will contact you if we can accommodate your request.

Your Medical School (if applicable).
Anticipated Graduation Year four digits 20XX format.
Name, Phone and Email of the Contact at your School.
Name, Phone and Email of your Emergency Contact.
Type of rotation/field of medicine
Name of provider you wish to precept if known
Does your program have a current affiliation agreement with SMG?
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