ACA Preceptor

Due to your involvement in the Ambulatory Care Apprenticeship, it has been requested that you receive a Voluntary faculty appointment with the UCSD School of Medicine's Department of Family and Preventive Medicine or Internal Medicine. In order to process your appointment, we will need you to complete (all must be typed) and return signed copies of the following via fax (858-534-8556) or scanned and emailed to me (fzatarain@ucsd.edu, with the documents attached):

*Academic Biography - please email back to me as well

* Voluntary Faculty Warranty

Additionally, we will need copies of the following:

* CA Medical License

* Drug Enforcement Administration Certificate

* Board Certificate(s)

*A current Curriculum Vitae (CV)

Once all the documents are received, we will begin the process of your Voluntary faculty appointment. Should you have any questions about the application process, please feel free to contact me.

Thank you!

Felipe E. “Eddie” Zatarain
Coordinator, Ambulatory Care Apprenticeship
office 858-534-1107 fax: 858-534-8556
email: fzatarain@ucsd.edu

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