Observer Form

Please review and complete the form below, and be aware that there may be a 2 week lead time required for certain observational experiences. Please also be aware that all observers must be at least 16 years or older to complete an observation at Lakeland Health.

* Required Field

I understand that I must be at least 16 years or older to participate in an observation at Lakeland Health and I am confirming that I am at least 16 years old.

I understand I can only observe for a maximum of 16hrs, unless I have documentation that states otherwise *

Please indicate up to three health professions you are interested in shadowing. (Please be as specific as possible with request for departments in order to better facilitate placement.) *

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