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Nurse Practitioner/Physician Assistant Intern Application


Please complete the online application for clinical rotation at Decatur Memorial Hospital and upload below or email all additional required information at time of application. Applicants are selected by a committee that meets quarterly. Your application will be reviewed for the school semester you applied for and you will be notified of acceptance and placement or denial via email at least three months prior to the semester requested. Do not contact DMH providers directly for placement. Please submit your application at least 6 months in advance of desired clinical rotation. Once accepted there is additional training and requirements you must complete prior to starting.

You may also download and print the NP-PA Assistant Intern Application Form and email netlearning@dmhhs.org.

If you have questions you may contact:
Sarah Clark, RN, BSN, MSN
Clinical Nurse Educator
sarahc@dmhhs.org

Stacey Taylor RN, BSN
Education Manager
staceyt@dmhhs.org

Nurse Practitioner/Physician Assistant Intern Application

Applicant Information

Last
First
mm/dd/yyyy
Dates requested for Clinical Internship

Education

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