2023-2024 Doctor of Osteopathic Medicine Student Handbook Acknowledgement Form
(The student handbook is accessible at all times via the UIWSOM website at: https://osteopathic-medicine.uiw.edu/current-students/index.html)
First Name
*
Last Name
*
UIW Identification Number
*
UIW Email Address
*
Confirmation Email
Select UIWSOM Program
*
DO
Select DO Classification
*
OMS-I
OMS-II
OMS-III
OMS-IV
I acknowledge that I have received a copy of the 2023/2024 Doctor of Osteopathic Medicine Student Handbook and that I am aware that the handbook is accessible at all times via the UIWSOM website at: https://osteopathic-medicine.uiw.edu/current-students/index.html
*
Yes
I acknowledge that I have read and familiarized myself with the contents of the University of the Incarnate Word School of Osteopathic Medicine Doctor of Osteopathic Medicine Student Handbook.
*
Yes
By signing this statement with an electronic signature, I agree to abide by all the regulations, policies, and procedures of the University of the Incarnate Word School of Osteopathic Medicine, including by reference or hyperlink, and any amendments that may occur. By typing my legal name, I am signing this form electronically. I agree my electronic signature is the legal equivalent of my manual signature on this form.
*
I agree
Type Full Legal Name
*
Signature
*
Date form was electronically signed and submitted
*
-
Year
-
Month
Day
Date
Time form was electronically signed and submitted
*
Hour Minutes
AM
PM
AM/PM Option
Submit
Should be Empty: