Visit the NEW CoM Homepage |  University of Kentucky |  UK HealthCare |  Give to Medicine |  Diversity  
UK College of Medicine logo Link to the College of Medicine web site
  • ed3
  • rs4
  • cs3
  • ad4

Surgical Skills Lab

SS LAB

SS LAB
Forms and Documents

Orthopaedics Department

Contact Information
Robert Ullery, MS, ATC
Orthopaedics/Sports Medicine
Phone: 859-218-3061
Fax: 859-257-8696
Email: rullery@uky.edu


Documents marked (PDF)
are in Adobe Acrobat format.
If you don't already have
Acrobat Reader installed,
you can download it here.
top navigation

Lab Request Form       Before you fill in this form, please print and read the Rental Agreement.

Event Sponsor:

Event/Function Title:

Please enter a contact e-mail:

Event Description/Details:

Choices of Date(s) for the Event:




Anticipated number of attendees/participants:

Lab rental amount requested
Full lab (5 stations + 1 Instructor's station)
Half lab (up to 3 stations)
Per station:
Number of Stations desired IF you selected "Per Station" Above:
1     2     3     4     5

Lab rental time reqested
Full day
Half day

Equipment/supply requests of items desired to be provided:

Instrumentation:
(We provide soft tissue, basic shoulder/hand/elbow/knee sets.)

Specimens:
If you are requesting specimens, you MUST fill out the Specimen Request Letter.

Scrubs:
Storage:


Items for event that will be provided/brought/shipped ahead of time or delivered by the event sponsor:

 

Comments and Corrections |  An Equal Opportunity University |  Jobs  |  Terms, Conditions and Accessibility Statements   |  Privacy
© 2012, University of Kentucky College of Medicine, 138 Leader Ave., Lexington, Kentucky, USA 40506-9983
Student Affairs: (859) 323-5261 · Admissions: (859) 323-6161 · Clinical Questions: (859) 257-1000 · Dean's Office: (859) 323-6582
Page last updated Thursday, February 04, 2010