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    Home › Education › Requirements/Grading › Evaluation Forms
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    Evaluation Forms

    Info

     

    1. Observed H&P Form
    2. Graded H&P Evaluation Form
    3. Admission Orders Form
    4. Student Evaluation Form (paper copy for mid-rotation feedback session - use one45 for final evaluations)

    Christopher Klipstein
    Clerkship Director
    Christopher_Klipstein@med.unc.edu

    Carol Carden
    Clerkship Coordinator
    Carol_Carden@med.unc.edu
    Division of General Medicine
    5034 Old Clinic Bldg. CB#7110
    Chapel Hill, NC 27599

    (919) 966-7776
    Fax: (919) 966-2274

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