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Neuroscience Institute
Lindeman Building, Level 7
1201 Terry Ave.
Seattle, WA 98101
Site Director: John Ravits, MD
Office Manager: Shelly Fagerlund
Phone: 206-341-0420
Map: https://www.virginiamason.org/body.cfm?id=226
PRE-ARRIVAL PAPERWORK REQUIREMENTS
The items below must be completed
AT LEAST THREE WEEKS PRIOR to beginning your clerkship.
Fax items 1-4 to Monica Wan at Virginia Mason at 206-341-0125.
If you have questions about this paperwork, please contact
Ms. Wan at 206-341-0119 or monica.wan@vmmc.org.
- Student
Licensure/Immunization Certification Form: This form
will need to be signed by Employee Health Services on the
2nd Floor of UWMC.
- Disclosure
Statement
- Authorization
for Release of Background Information
- ID
Badge Form
- Contact Shelly Fagerlund as soon as possible. She will
need additional information from you to set up your computer
access (full name, birthdate and UW student number). You
can reach Ms. Fagerlund at 223-8887 or Shelly.Fagerlund@vmmc.org.
- Your Rights
under FCRA: This is informational only and does not
need to be returned.
COURSE INFORMATION
Clerkship orientation: Orientation is at
the UW at 8:00AM on the first day of your clerkship. The room
number is on the Didactics
page. Room information may change at
the end of each rotation, so be sure to check the table the
weekend before you begin.
After orientation: Report to Dr. Ravits
at Virginia Mason Neuroscience Institute (address & map
above).
Equipment to bring: White coat and name
tag, reflex hammer, tuning fork (128Hz), stethoscope, (Ophthalmoscope
recommended).
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