Drachman Hall, Room B-307
1295 North Martin Avenue
P.O. Box 210202
Tucson, AZ 85721-0202
Tel: (520) 626-1197
Fax: (520) 626-1460
Building 1, Room 1266
550 East Van Buren Street
Phoenix, AZ 85004-2230
Tel: (602) 827-2156
Fax: (602) 827-2074
Related Links
Contact UsPhone: (520) 626-2264 Fax: (520) 626-6588 |
The Arizona Health Sciences Center Contracting Office, under the direction of Darlene Vanover, acts as a liaison for the UA Colleges of Medicine, Nursing and Pharmacy and the UA Mel and Enid Zuckerman College of Public Health and its faculty, staff, and students in the development, construction and negotiation of contracts with outside agencies that are necessary to carry out the teaching, research and public service programs of the colleges. These include educational agreements, such as affiliations for UA and visiting students/residents, site preceptor and preceptor agreements, educational fellowships and specialized training agreements, and non-clinical, services-related contracts for programs and campuses, such as the Arizona Telemedicine Program, the UA/UPH Residency Consortium and the College of Medicine – Phoenix. The AHSC Contracts Office works closely with numerous UA offices as applicable and is available to provide advice and guidance when programs begin exploring educational and service relationships with other entities. For directory of AHSC contracting team and useful information regarding AHSC contracting, please click here: /sites/ahsc.arizona.edu/files/u7/AHSC%20overview%202012.pdf
To see if we currently have an agreement with a potential site or person, choose either of the choices below and continue on. If no agreement exists, you may print out and complete a request form. Should you have any questions, please contact us!
Please feel free to utilize the fill able PDF files below. Students please utilize the Student Request Form. Residents/Fellows will need to use the Outside Elective form for elective rotations and Programs will use the Affiliate-Precep Request Form to request an agreement.
| Attachment | Size |
|---|---|
| Outside Elective Request Form (web).pdf | 84.29 KB |
| Affill-Precep Request Form (web).pdf | 80.86 KB |
| STUDENT REQUEST FORM.pdf | 34.16 KB |