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Psychiatric Mental Health Nurse Practitioner (PMHNP) Clinical Practicum

Online Clinical Requests (requires a UW NetID and password)

For Spring quarter, 2014 (March 31st - June 6th), the NCLIN 566 request form is due no later than January 17, 2014.


HRSA grant funded mini clinical requests for Spring quarter, 2014 are also due Friday, Jan 17th.

Mini Clinical Request (for Spring, 2014) <-- CLICK HERE!

Other request forms

Formula for Seminar/Clinical Hours to Credits

The first credit taken is equal to 2 hours of seminar time. The remaining credits are equal to 3 hours per credit of agency/clinical hours.

For example, if you register for 3 credits of clinical (e.g., NCLIN 566) you are expected to attend a weekly seminar (2 hours) in addition to 6 hours per week at a clinical site.


No. of Credits Credit Breakdown Clinical Hours
2 credits 1 credit of seminar/1 credit clinical 3 hours/week of clinical
3 credits 1 credits of seminar/2 credits clinical 6 hours/week of clinical
4 credits 1 credit of seminar/3 credits clinical 9 hours/week of clinical
5 credits 1 credits of seminar/4 credits clinical 12 hours/week of clinical
6 credits 1 credit of seminar/5 credits clinical 15 hours/week of clinical

Clinical Evaluation Forms

Evaluation of Students

Word document evaluation of students to be completed by preceptors and students

Evaluation of Clinical Sites

Requires a UW NetID and password. To be completed by students only.

Precepting for the UW School of Nursing

For more information regarding clinical placements, including how to become a preceptor, please contact:

    Anita Souza
    Advanced Practice Clinical Placement Coordinator - Psychiatric Mental Health Nurse Practitioner (PMHNP) Specialty
    University of Washington School of Nursing, Box 357263
    Seattle, WA 98195-7263
    Health Sciences Building, Room T509C
    Phone/Voicemail: 206-221-6505
    Fax: 206-685-9551