University of Minnesota Center for Interprofessional Health (CIH) Consultation Request Form

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Are you looking to collaborate at an individual, program, or institution level related to interprofessional education and practice initiatives?

The Center for Interprofessional Health (CIH) serves as a centralized source of expertise with broad networking opportunities.

Please use this form to request a consultation! For questions, please contact ipe@umn.edu.

Full Name (first and last) *

Email Address *

Institution/Organization Name
*

Health Sciences School/College/Program/Department Affiliation (if any)

Professional Role/Title
*

Which of the following categories best describes your consultation needs? (Select all that apply)
*

Interprofessional curriculum development: Learn how to create or develop an interprofessional learning opportunity or experience, or how to expand to include additional health professions.

Interprofessional program/initiative enhancement: Receive guidance regarding how to inventory, enhance, or assess the interprofessional education curriculum at your institution or program.

Speaking engagement: Request to have a CIH leader share their expertise and knowledge at an upcoming conference or meeting.

Scholarly collaboration: Partner with a CIH leader in conducting an interprofessional research project, including scholarship of teaching and learning

Other:

Required

Please share a detailed description of your consultation needs: *

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