Office of Continuing Education&Outreach

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Visiting Clinican Program

Please mail completed registration form, along with a brief statement indicating
your desired expectations from participating in the program, to:
NC State College of Veterinary Medicine
Office of Continuing Education
4700 Hillsborough Street
Raleigh, NC 27606-1499

or FAX to: 919-513-6689

Name:
Practice:
Address:
City:	State:
ZIP Code:
Work Phone:	FAX:
E-mail:
Which service(s) would you like to participate in? Soft Tissue Orthopedic
We are flexible regarding scheduling. Alternatives include one day or afternoon per week, several consecutive days, or larger blocks of time. Date(s) you would like to participate: Date(s): Month: Year: Time of day preferred: 8am-5pm 8am-1pm 12pm-5pm

Back to Visiting Clinician Program

NC State College of Veterinary Medicine
Office of Continuing Education & Outreach
4700 Hillsborough Street
Raleigh, NC 27606
919-513-6259