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 Externship Program
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The Program
Externship Students
Preceptors
Prospective Preceptors
Contact Us

Prospective Preceptors

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.

Preceptor Manual
Preceptor Application Form
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.


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