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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

 
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Standardized Patient Application

If you are interested in applying to become a standardized patient, please complete this on-line form, and we will contact you within 10 business days to schedule an interview. This information is kept confidential, and is used to help us keep in touch with you as opportunities arise.
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When you have completed the form, please click the submit button to send your information to the Standardized Patient Coordinator. If you would like to clear this form and start over, please click the clear button and continue. Thank you again for your interest in our program.