MP Option 3A Payment

Managed Partner Program

OPTION 3A: Complete payment information below IF this is your STUDENT’S first clinical placement this academic year (after August 1, 2023)! If you chose the wrong option, close this screen to return to the Managed Partner Portal to select again.

Credit Card Payment = $50

Your Name(Required)

First Last

School(Required)

Program of Study(Required)

Enter the healthcare organization's name where your student will be going for your clinical placement:(Required)

Enter a Phone Number where you can be reached:(Required)

Enter your Email Address:(Required)

STUDENT Name(Required)

First Last

TCPS Clinical Onboarding

Credit Card

Card Details

Cardholder Name

MP Option 3A Payment

Managed Partner Program

Thank you for your payment!