Physician Associate Request for Information

Fields marked with * are required fields.

First Name*

Last Name*

Email Address*

Phone Number*

Are you a U.S. citizen or Permanent Resident?*

US Citizen (hidden)

Non US Citizen (hidden)

Program of Interest*

Intended Degree Type*

Master of Medical Science

Intended Start Term*

160/90 GA ID (Hidden)

I acknowledge that, by clicking the "Submit" button below, I consent to representatives of Miami University and its Educational Partners to contact me about educational opportunities via email, text, or phone, at the phone number above, using an automatic dialer or pre-recorded message. I understand that my consent is not a requirement for enrollment, and I may withdraw my consent at any time.