Family Medicine Year 4 Electives Request Form
Please fill out the below form to request year 4 electives in Family Medicine.
- *This form is only open to Western students. If you are a visiting student, please visit the Visiting Student Elective website.
- Once your form is submitted, please allow 4-6 weeks for confirmation by email from the Program Coordinator.
- Forms will not be processed until after April 1.
- A copy of your submission will be sent to you by email for your records.
- Please do not include requests for: Windsor or Sports Medicine.