Clinic Immersion 2.0 Application
What are your credentials? (MD, ND, DC, NP, PA, etc.)
Copy of qualifications/certifications/licenses (or if a student, copy of transcripts/course outline and proof of enrollment)
*If credentials are in a language other than English, please provide a certified English translation.
Where did you hear about us?
Dr. Kara Email
3rd Party Email
3rd Party Social Media
Colleague or Friend
If "Other" tell us more.
Please allow up to 10 business days for your application to be processed. Once it has been reviewed, you will receive an email with next steps.