New User Details
Clinical Rotation Application
HCPHES only grants internships to enrolled students receiving academic credit.

 Intern Preferences

Visit our website at www.hcphtx.org to read more about our Divisions/Offices and Programs
Please indicate which division/office/program you would like to volunteer/intern:
Availability
Check the box of the days and times you are available.
Most of our offices are not open on the weekends/evenings.
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
School Information
Please upload the following files:
Personal Reference
List a reference who is NOT RELATED to you
Emergency Contact
In the event of an emergency, whom should we contact?
For Medical Professionals ONLY
Please Download and Review the Following Agreement Forms:
Individuals wishing to volunteer or intern at HCPHES are required to provide an electronic signature demonstrating their willingness to adhere to the required statements, releases, and agreements of the Volunteer and Internship Program.
Please read each document by clicking the link next to the file name, and then type in your name in the electronic signature box.
By providing your electronic signature you are consenting to all of our agreement forms.
Confidentiality Statement
Volunteer/Intern Code of Conduct
Photography Consent Form/Model Release
Release and Indemnification Agreement
Volunteer/Intern Participation Agreement
Volunteer/Intern Social Media Policy
Vaccination Requirements