Visiting Resident Medical Toxicology Rotation - Application

To apply for the toxicology rotation program at the NYC Poison Control Center, complete and submit the form below.

You also must submit:

  • A Non-disclosure Agreement
  • A letter from your home institution (PDF format) on official letterhead stating you are in good standing and will have your salary and malpractice coverage provided
  • A photo (school or government ID preferred)

You will receive specific instructions on how to provide this information after you submit the application form. If your institution cannot provide a letter confirming malpractice coverage, or if you have any other questions or concerns, email

Application Form

Provide your contact details and your first and second choice start dates for a rotation. We will try to give you your first choice, but we cannot guarantee availability. Choosing a session start date does not mean you will be registered for that date. You must apply at least one month – but not more than three months – before your preferred session start date.

* Indicates required fields

Applicant Information

Applicant's Program Coordinator's or Program Director's Information

Rotation Session Information

Rotation Length* (We recommend the four-week rotation.)

Agreements (Must select all)

I attest that I have reviewed the PCC rotation description and understand the rotation responsibilities of daily call-backs and completing a project presentation.*
I understand there is an attendance requirement for the successful completion of the toxicology rotation at the NYC Poison Control Center. I understand that I must send a written email notification to for all absences.*
I understand that the email I provided above will be used for all future communications regarding the NYC Poison Control Center. I understand that my email and contact information will not be shared with outside parties.*

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.