Shadowing Request Form To begin the process, the requesting shadower must first attain a faculty sponsor. Once attained, it is the responsibility of the requesting shadower to complete all forms listed within the Shadowing Checklist and upload files no later than two weeks before the requested start date. International students or foreign medical graduates must complete all forms no later than sixth months before the requested start date. Name* First Last Email* PhoneI want to shadow the following faculty member*If unknown put N/A Shadowing Checklist* Request for Shadowing (this form) COM Request to Observe Patient Care Form HIPAA Training Modules Online Confidentiality Statement Files to be completed and uploaded can be found on the Shadowing information page. Please upload completed files*Accepted file types: jpg, gif, png, pdf, doc, docx.Please upload completed filesPlease upload completed filesPlease upload completed filesEmailThis field is for validation purposes and should be left unchanged.