McLaren Greater Lansing Application for Osteopathic/PA Elective Clerkship
This is a secure site. Please complete the information below.
* Indicates required information
Name: (last, first, middle initial) *
Phone Number: (000)000-0000 *
Previous Clerkship Experience:
Do you have Personal Health Insurance? *
I agree that the above is true to the best of my knowledge, initial here *