Star Andrews
Program Coordinator
Family Medicine Residency Program
602 W. University Ave.
CBLL - Room OBO 26
Urbana, IL 61801
(217) 383-4845- phone
(217)
326-1300- fax
star.andrews@carle.com
We need to have the completed
form at least 60 days prior to the start date of your intended clerkship to
identify appropriate resources and ensure that the required forms are
completed.