Preceptor Letter of Intent - 2023-2024 Header Image

Welcome to Morehouse School of Medicine Department of Physician Assistant Studies. Complete the form below providing your true availability and student capacity. Clerkship assignments are made with consideration to course requirements, specialty interests, and individual progression to ensure student success. Please communicate with the Clinical Curriculum Manager should there be any change to your stated availability. Thank You for your continued support.

*Clerkship assignments are tentative and subject to change.

Preceptor Letter of Intent

Clinical Year Availability

I am interested in providing supervised clinical practice (SCP) for students enrolled in the Morehouse School of Medicine Physician Assistant Program. I would like additional information about the program and how to become a clinical preceptor. I understand that this is a preliminary request to identify potential sites for clinical practice experiences.

Clinical Site Mailing Address:*
Practice Setting(s):*
For the purposes of student credentialing
Patient Demographics:*
Have You Ever Taught Students in the Clinical Setting?*
Are You Interested in Guest Lecturing?*
Have you been recruited to become a PALS preceptor?
Georgia, N. Carolina, S. Carolina, Florida, Alabama ONLY
Check your tentative availability below for the '23-'24 clinical year*
Use your mouse or finger to draw your signature above

720 Westview Drive, SW Atlanta, GA 30310 Telephone: (404) 756-1254 Email:

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