4th Year Clerkship Forms

Office Hours & Locations

Main Campus, Bethesda, MD

Monday - Friday: 07:30 - 16:00

Bldg A. Rm 1041

Bldg 79

(301) 400-4100

College of Allied Health Sciences, San Antonio, TX

Monday - Friday: 07:30-16:30

Bldg. 2398

(210) 808-4485

Fourth-Year Medical Students Forms

  • USUHS Form 114: Fourth-Year Clerkship/Subinternship form is used to request electives not listed in catalogue.
  • USUHS Form 650: Fourth-Year Evaluation Form 
  • USUHS Form 6032: Fourth Year Schedule Form to schedule your fourth year rotations and for any changes made to your rotations.

Note: Please fill out forms accordingly and accurately to avoid delay. Thank you!