3-Quick Steps To Become A Preceptor

  1. Complete the 91短视频APP PA Program Preceptor Application (hardcopy attached or electronic versions available at:
    • Upload required documents (CV, Medical License, Board Certification)
  1. Complete the 91短视频APP PA Program Letter of Intent
    • Provide your annual availability for student placements.

    3. Read, sign, and return the 91短视频APP Affiliation Agreement (if applicable)

PA Clinical Affiliation Agreement
(Long Form)

PA Clinical Affiliation Agreement
(Short Form)

Once all documents are received, the information will be reviewed and verified to determine eligibility for Adjunct Clinical Faculty status. All questions can be referred to: 

Diane Dennis-Griggs
Clinical Director
91短视频APP Department of PA Studies
720 Westview Drive
Atlanta, GA 30310
ddennis-griggs@msm.edu