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1043 Burnett-Womack
CB# 7529
University of North Carolina
School of Medicine
Chapel Hill, NC 27599

Office: (919) 966-3643
Fax: (919) 962-2027

 
You are here: Home > For Medical Students > Open Skills Labs > Student Patient Facilitator Request

Student Patient Facilitator Request

Please fill out this form to request a Patient Facilitator for your Open Skills Lab practice session.  You must fill out all items or your request will not be processed.  Your request must be submitted at least two weeks prior to the session.  Remember, you must sign up for practice sessions in pairs.

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Please review all items before you hit submit.