OIEPB Clinical Component Workshop- Standardized Patient (SP) Sign Up

Name*
First Last
Email*
I would like to be a SP on Saturday, October 26, 2019 , 2019 and am available from 8am - 4:30pm.*
- Yes
- No
Phone or Cellphone number where you can be reached in case of an emergency*
Important Info - If you have any concerns about your role as a SP or restrictions you would like us to keep in mind when matching you to stations (e.g., restrictions to disrobing, injuries which limit movement or mobility), please comment below. We will do our best to accommodate you.
If you have volunteered to be a SP on Saturday October 26 , 2019, Please choose one.