Family Medicine Year 4 Electives Request Form
Please fill out the below form to request year 4 electives in Family Medicine.
- Please only fill out this form if you have received a Family Medicine elective in the Lottery
- This form is only open to Western students. If you are a visiting student, please visit the Visiting Student Elective website.
- This form will ask for specific blocks. If you plan on switching your FM block, please put the block you are requesting, or make a note that the block may change.
- Once your form is submitted, please allow 4-6 weeks for confirmation by email from the Program Coordinator.
- A copy of your submission will be sent to you by email for your records.
- Please do not include requests for Windsor
