If you are interested in becoming a preceptor for the externship program
of UAB School of Optometry, please click the links below to download the Preceptor
Application Form and Affiliation Agreement for Clinical Education.
After the forms are completed, please mail, fax, or email them to Mrs. Cynthia Perry at
the Office of Externship Program.
Mailing address: Room 307, 1716 University Boulevard, Birmingham, AL 35294
Fax: (205) 934-6758
Email addresss: CMBB11@uab.edu
Thank you for your interest and support of our program.