Jump to navigation
Jump to content
Explore UAB
MyUAB
BlazerNet
Canvas
Email
Future Students
Visit UAB
opens a new website
Apply to UAB
opens a new website
Request Info
opens a new website
Undergraduate Students
Advising
opens a new website
Undergraduate Catalog
opens a new website
Request Info
opens a new website
Research and Service Learning
opens a new website
Graduate Students
Graduate School
opens a new website
Graduate Catalog
opens a new website
Online Degrees
opens a new website
Parents & Family
Services
opens a new website
Resources
opens a new website
Family Visits
opens a new website
Alumni
Get Involved
opens a new website
Benefits
opens a new website
Events
opens a new website
Faculty & Staff
Office of Provost
opens a new website
Human Resources
opens a new website
Faculty Resources
opens a new website
Staff Council
opens a new website
Researchers
Office of Research
opens a new website
Harbert Institute
opens a new website
CCTS
opens a new website
Patients
UAB Medicine
opens a new website
UAB Dentistry
opens a new website
UAB Optometry
opens a new website
Athletics
Campus Map
Give
Calendar
News
Contact Us
Colleges & Schools
Arts
&
Sciences
Collat School
of Business
Dentistry
Education
Engineering
Graduate School
Health Professions
Honors College
Medicine
Nursing
Optometry
Public Health
Explore UAB
Department of Neurosurgery
Heersink School of Medicine
News
Events
Contact
Directory
Faculty
Leadership
Residents
Search
This Site
All Sites
Search
Search
Faculty
Research
Education
Clinical
About
Department of Neurosurgery
Close
News
Events
Contact
Directory
Faculty
Leadership
Residents
Faculty
Research
Education
Clinical
About
Education
Residents
Medical Students
Medical Fellows
Doctoral Students
Postdoctoral Research Training
Global Neurosurgery Program
Continuing Medical Education
J. Garber Galbraith Scientific Session and Lecture
Clinical Observerships
Observership Request Form
Less
More
in this section
Education
Residents
Medical Students
Medical Fellows
Doctoral Students
Postdoctoral Research Training
Global Neurosurgery Program
Continuing Medical Education
J. Garber Galbraith Scientific Session and Lecture
Clinical Observerships
Observership Request Form
Neurosurgery Home
Education
Clinical Observerships
Observership Request Form
Clinical Observerships
Observership Request Form
Observership Request Submission Form
Department of Neurosurgery Observership Request Form
First Name
(*)
Invalid Input
Last Name
(*)
Invalid Input
Email
(*)
Invalid Input
Upload your completed observership packet.
(*)
Add another file
Invalid Input
Upload your Employee Health clearance documentation.
(*)
Invalid Input
Select the faculty member you wish to observe.
(*)
Nicole Bentley, M.D. - Functional and Movement Disorders
M.R. Chambers, DVM, M.D. - Brain Tumors and Spine Disorders
Jakub Godzik, M.D., MS - Spine Disorders
Mark Hadley, M.D., - Spine Disorders
Daniel Harmon, M.D. - Spine Disorders and Trauma
Mark Harrigan, M.D. - Neurovascular Disorders
Marshall Holland, M.D., MS - Functional and Movement Disorders
Jesse Jones, M.D. - Neuroradiology
Elizabeth Liptrap, M.D. - Neurovascular Disorders
James Markert, M.D., MPH - Brain Tumors
Mamerhi Okor, M.D. - Spine Disorders
Patrick Pritchard, M.D. - Spine Disorders
Kristen Riley, M.D. - Brain Tumors and Epilepsy
Advanced Practice Provider
Invalid Input
Invalid Input
Submit