Nurse Practitioner Student Clinicals Request

Please fill out the following form if you are interested in doing Nurse Practitioner Student Clinicals with Lee’s Summit Physicians Group.

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  • Please provide the best phone number for us to reach you.
  • IMPORTANT: Please use the notes field above to list what college and program you are in. Also, please state which semester you are in and for how long you need clinical hours. We will reach out to you by email or phone if we are able to place you in one of our offices for clinical hours.
  • Max. file size: 300 MB.
  • This field is for validation purposes and should be left unchanged.