Medical Laboratory Science Program Please enable JavaScript in your browser to complete this form.Dear Student, Thank you for your interested in the UPMC Chautauqua Medical Laboratory Science Program. Please use this form to contact me directly. Sincerely, Michele G. Harms, Program DirectorName *Email *PhoneAddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeCurrently enrolledBS UniversityCommunity CollegeNot Currently EnrolledName of SchoolCurrent Year of SchoolingFreshmanSophmoreJuniorSeniorComment or Message *Submit Phone716-664-8484 Address31 Glasgow Ave., Jamestown, NY 14702