University Hospitals. The Science of Health. The Art of Compassion.

Visiting Student Elective Program Payment Form

You have been accepted into the elective program. Please use the form below to make a payment by selecting the number of electives you would like to pay for.

Domestic Payments

One (1) Elective

Two (2) Electives

Three (3) Electives

International Payments

One (1) Elective

Two (2) Electives

Three (3) Electives