IPC Educational Visit Request
Internships, Shadowing, Clinical rotation and other similar requests
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Rehabilitation Program/School
Current Employer
Supervising Veterinarian (non-DVM applicants)
Please share what kind of educational experience you are inquiring about (day of shadowing, 40 hr internship for rehab certification, veterinary student clinical rotation, etc)
Please share your availability or desired dates/times:
Submit
Should be Empty: