4th Year Clerkship Forms

Uniformed Services University

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!