Advanced Practice Provider Clinical Application

Livingston HealthCare

Advanced Practice Provider Clinical Application

Nurse Practitioner and Physician Assistant students are required to submit this application for interest in completing clinical rotations at Livingston HealthCare. To expedite the process, it is recommended to upload required documents with your application. These include:

• Student Certification Form

• CV/Resume

• Rotation Objectives from Program

• Letter of Good Standing from School/Program

• Photo ID

• Copy of Immunizations (2-step PPD)/Declinations

• Flu Shot Information/Declination

For any questions or concerns about the application or required documents, please email christina.goehring@livhc.org

As a small Critical Access Hospital, spots are very limited and applications are competitive.

We look forward to potentially supporting your educational endeavors at LHC!