Nursing at Penn Medicine

Request for Student Clinical Placement

Undergraduate

A current Affiliation Agreement must be on record between your school or university and the Penn Medicine in order to request a nursing student clinical rotation. Undergraduate nursing students are required to complete these two steps:

  1. Complete the Request for Student Placement form and email/fax it to the respective liaison as listed below. Note that established and/or long-standing clinical rotations will take precedence over new requests.
  2. Complete HIPAA form

Requests should be received by no later than six (6) weeks prior to the requested clinical start date(s). Your request(s) will be acknowledged upon receipt and you may expect a response to your proposed request no later than four (4) weeks prior to the start of the clinical rotation.

Graduate

It is the responsibility of the graduate nursing student to identify their clinical preceptor and confirm start and stop dates. Graduate nursing students are required to complete these three steps:

  1. Complete the Graduate Nursing Student Information Form
  2. Complete HIPAA form
  3. Provide copy of Pennsylvania state license

Submit Completed Forms

Please fax or scan and email all items to the institution representative for which you are requesting:

  • Hospital of the University of Pennsylvania / CPUP
    Cynthia Richardson, MSN, RN
    cynthia.richardson@uphs.upenn.edu
    Fax: 215-662-6140
    Phone: 267-414-2836
  • Pennsylvania Hospital
    David O'Brien, MSN, RN
    daobri@pahosp.com
    Fax: 215-829-8757
    Phone: 215-829-8457
  • Penn Presbyterian Medical Center
    Barbara Anderson, MSN, RN
    barbara.anderson@uphs.upenn.edu
    Fax: 215-662-9179
    Phone: 215-662-8610
  • Good Shepherd Penn Partners
    Linda Stevenson, MSN, RN
    linda.stevenson@uphs.upenn.edu
    Fax: 215-893-2555
    Phone: 267-252-3692
  • Penn Care at Home & Hospice
    Christine Bossone, MSN, RN
    christine.bossone@uphs.upenn.edu
    Fax: 610-747-3489
    Phone: 610-747-3400