LHHF Registration (2009)
LHHF Registration (2009)
Fair Date: October 10, 2009
Name
First
Last
Email
Year in school:
MS1
MS2
MS3
MS4
MD/PhD
Campus:
UM/Jackson
FAU
Do you speak Creole?
Yes
No
First station preference:
Registration
Vitals
Glucose
Venipuncture (only if certified)
Female Exam
Male Exam
Bone Density
Optho
Mental Health
Peds
Dermatology
Check out
SPARK
MedIT
Exec
Second station preference:
Registration
Vitals
Glucose
Venipuncture (only if certified)
Female Exam
Male Exam
Bone Density
Optho
Mental Health
Peds
Dermatology
Check out
SPARK
MedIT
Exec
Third station preference:
Registration
Vitals
Glucose
Venipuncture (only if certified)
Female Exam
Male Exam
Bone Density
Optho
Mental Health
Peds
Dermatology
Check out
SPARK
MedIT
Exec
Shift Choice
AM: 8:30am-12:30pm
PM: 11:30pm-3:30pm
Full Day