Not much would change, everything is done via PhORCAS. You would still need to have your school send your transcripts to PhORCAS, otherwise you just need a current CV, and to complete the letters of intent and other things required by each program you apply to. For letters of recommendation I'm not as sure. If programs require one from a preceptor I would get in touch with your past preceptors and see if they were willing to write you one and if they recall enough. I would also email the program directors to see what they would prefer in terms of letter's of rec. in your situation.