NOSM/ROMP UHIP Registration

If you have any questions about this form, please contact Chris Gallinger by e-mail at 'clgallin@lakeheadu.ca'.


Cost for UHIP:
1 placement: $60 (HST Included)
2 placements: $120 (HST Included)

Please enter the end date for full coverage of your placement (ie. likely the Sunday for your final week).