Physician Shadowing Application

- OCTOBER 18, 2024
PMC Encourages Breast Cancer Awareness And Screenings
October is Breast Cancer Awareness Month and health experts are reminding women of the critical importance of early detection in the fight against breast cancer. In the United States, breast cancer remains the most common cancer among women, with one in eight women facing a diagnosis in her lifetime. Early detection significantly improves the chances
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- OCTOBER 18, 2024
PMC Offers Region’s Only Board Certified Breast Radiologist
At Pikeville Medical Center, women can screen for breast cancer with confidence knowing that Board Certified Breast Radiologist Dr. Cherah Pryce is among the medical experts reviewing their screening results. Dr. Pryce specializes in diagnosing breast cancer and provides expert imaging evaluation of 3D mammograms, breast MRIs, breast ultrasounds and stereotactic-guided biopsies. “A breast radiologist
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- AUGUST 20, 2024
Colors of Courage 5K Brings Hope to Patients and the Community
Runners and walkers are lacing up their shoes for the ninth Colors of Courage 5K Run/Walk to raise money to support cancer patients of the Lawson Cancer Center at Pikeville Medical Center. The Colors of Courage 5K is one of the most popular running/walking events in downtown Pikeville and will be held on the morning
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- AUGUST 19, 2024
Lawson Cancer Center Providing Comprehensive Oncology Care
The Lawson Cancer Center (LCC) at Pikeville Medical Center (PMC) provides healing and comfort for individuals and families navigating the challenging journey of a cancer diagnosis and treatment. Patients at the LCC receive comprehensive care, personalized treatment and unwavering support from the entire oncology team, which embraces a multidisciplinary approach to cancer care. This group
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First Name:
Middle Name:
Last Name:
Are you 16 or older?	Yes No
Date of Birth:
Home #:
Cell #:
Email Address:
Present Address:
SSN:
Timeframe of shadowing request:
Emergency Contact:
Name:
Phone #:
I represent and warrant that I am not now nor have I ever been (i) listed by an agency or entity as excluded, debarred, suspended, or otherwise ineligible to participate in any federal, state, or private health care benefit program; (ii) listed as an excluded party by the U.S. Department of Health and Human Services or General Services Administration; (ii) been charged with, convicted of, pled guilty to, or entered a plea of non contendere (or any similar plea) with respect to any healthcare related offense; or (iv) been sanctioned for any form of healthcare fraud or abuse. I will notify Pikeville Medical Center immediately upon the commencement of any proceeding against me in which the outcome may be any of the above-described events. I further agree to execute any documentation necessary to comply with PMC’s vaccination policy, including any authorizations to release my protected health information or otherwise apply for an appropriate exemption. I agree that before I can be accepted as a physician shadow I must comply with PMC’s vaccination policy and failure to comply may lead to me not being accepted as a physician shadow or being dismissed as a physician shadow. I hereby attest that all of the foregoing information is true and correct. I authorize Pikeville Medical Center to obtain such background and personal reports as are deemed necessary to verify that the information I have supplied is true and accurate. A copy of this authorization is valid as the original.
Participant Signature:
Date:
If younger than 18 years of age, please have a Parent/Legal Guardian read and sign the following: I hereby attest that I am the Parent/Legal Guardian of the Applicant and that all of the foregoing information is true and correct. I authorize Pikeville Medical Center to obtain such background and personal reports regarding the Applicant as are deemed necessary to verify that the information I have supplied is true and accurate. A copy of this authorization is valid as the original.
Parent/Legal Guardian Signature:
Date:

Latest News and Events

PMC Encourages Breast Cancer Awareness And Screenings

PMC Offers Region’s Only Board Certified Breast Radiologist

Colors of Courage 5K Brings Hope to Patients and the Community

Lawson Cancer Center Providing Comprehensive Oncology Care

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