Request for Clinical Experience
Prior to request there must be an Affiliation Agreement on file between your college and MercyOne.
A request is required for each rotation in which a student will be participating at MercyOne. This includes requests for experiences at all facilities including:
- Waterloo Medical Center
- Cedar Falls Medical Center
- Oelwein Medical Center
- MercyOne clinics and medical offices
Please click Student Type below to access the correct request form:
| Area of Study | Student Type |
|---|---|
| Health Information Services | HIM, Transcription |
| Laboratory Sciences | MLT, Lab tech |
| Medical Assistant | MA |
| Medical Students (Providers) | PA, MD, OD, Podiatry |
| Nursing Program (1:1 Precepted) | ADN, BSN, MSN, NP, FFNP, DNP |
| Pharmacy | APPE I & II, Family Practice, Residency |
| Radiology | Rad tech, Sonography |
| Rehab. Services/Health Promotion | OT, OTA, PT, PTA, SLP, Rec Therapy, Wellness/Health promotions |
| Respiratory Therapy | RT |
| Social Sciences | Social Work, Behavioral Health Counselor, Counseling Services, Women's Studies |
| Surgical Services | Surgical tech |
| Other: | Will be listed on request |
