IC Rotation Request Form

The Individualized Curriculum Rotation Request is required for each of your IC experiences. Please complete the form electronically and return to Mike Grubbs (grubbsm@ohsu.edu) .

Please note, that the form must be completed no later than 6 months in advance for out of country experiences, 3 months for off campus experiences (including Randall & Kaiser), and 2 months for any OHSU experience.

To download an IC Checklist PDF Fillable form go to MedHub and go to the Resource/Document Menu and click on the IC Curriculum Rotation List & Request Form Folder.

*Please note that you will need to download the document to complete it.

Thank you.