Doctor Shadowing Experience: Registration

We’re excited that you will be visiting us on campus! This is the final step in the registration process. Please only use this form if you have been approved for a specific shadowing date from one of our staff members and have been asked to submit payment through this site.

If you have any questions, please give us a call at 800.447.7276. Thank you!

Shadowing Experience - Registration (Stripe)

  • MM slash DD slash YYYY
  • Please choose the date approved by the Riordan Clinic in the email providing you the link to this form
  • Dates are not confirmed until payment is received in full. Thank you!
  • $0.00
  • This page is unsecured. Do not enter a real credit card number! Use this field only for testing purposes.
  • (check all that apply)
  • I understand and agree that participation in the Riordan Clinic Doctor Shadowing Program does not give me rights to the Riordan Clinic name, brand, intellectual or physical property. It is for the purpose of education only and that the Riordan Clinic is not responsible for verifying content retention or application. (Questions? Contact the Riordan Clinic at 800.447.7276)