Get Aviva Health Medical Student Rotation Request Application 2021-2025

Filling out the Aviva Health Medical Student Rotation Request Application online is an essential step for medical students seeking rotation opportunities. This guide provides clear instructions to help users easily navigate each section of the application.

Follow the steps to complete your application successfully.

1. Click ‘Get Form’ button to obtain the form and open it for editing.
2. Begin by entering today’s date in the designated field.
3. Provide your personal information, including your full name, preferred gender pronouns, current address, city, state, zip code, cell phone number, and email address.
4. For the medical school information section, enter the name and campus location of your medical school. Specify the name of your school coordinator or point of contact along with their contact information (phone and email).
5. Indicate your current status as either a 3rd-year or 4th-year student and provide your expected graduation date. If applicable, list the specialties you are interested in applying for residency.
6. Answer the questions regarding your board exams, including whether you have taken/passed your board exams and if you passed on your first attempt. Input your board scores for USMLE and COMLEX exams, if applicable.
7. In the rotation request information section, select your preferred rotation type and specify any alternative choices or dates. Review the minimum length requirements for clinical rotations.
8. Indicate your first, second, and third choice for requested dates and provide additional details if you previously rotated through Aviva Health or completed rotations in the Roseburg area.
9. Mention any personal ties to Roseburg or the Umpqua region as requested.
10. Once all sections are completed, review your entries for accuracy, then save the changes. You can download, print, or share the form as needed before submitting it to dinglis@aviva.health.

Complete your Aviva Health Medical Student Rotation Request Application online today!