To apply for an elective, please fill out the following form:
Please note that we can only take one learner (resident or student) for a block elective at any given time so elective spots fill up quickly. To avoid disappointment , please try to apply for the elective well ahead of time. At present we would appreciate that the request be made at least 3 months prior. If there are questions, please do not hesitate to contact Dr Rabia Bana at firstname.lastname@example.org.
Please note we are unable to accommodate learners during July and August. Horizontal electives must be arranged directly with individual practitioners of the SHN.
After you have filled out the elective form, you will hear from our office about whether any of the times requested are available or not and once confirmed, a clinic schedule will be planned for your elective.