IMPORTANT - Links beginning with a * have not yet been updated for the 2015-2016 academic year
2015 Due Dates for Paperwork & Drug Testing
Errors to Avoid when Submitting Paperwork
Instructions for Completing New-Year and End-Of-Year Paperwork
I-9 Acceptable Documents
New Hires
Checklist for New Hires Only
Cover Sheet for New Hire Packet-Budget Page (Program Coordinators Only)
Per 2 (Pre-Populated Per 2)
New Hire Welcome Packet (to be completed online)
ILPH / HCSD Packet *if needed
See House Officer Document Page for individual forms
VA Resident Application and Documents - New Residents* *if needed
Contact Ms. Janice Williams at 504-565-4873 with any questions about VA forms.
Agreement of Appointment (Program Coordinators Only)
Incoming Transfers From Other Institutions (Including LSU Shreveport)
These forms should only be used when a House Officer will be receiving credit for training done at another institution (exluding required prerequisite prelim years).
NOTE:
These forms must be completed and approved by GME before a position may be offered to the applicant!
Checklist for Trainees – Transfer from Other Institution
Data Sheet – Transfer from Other Institution
Transfer Applicant Program Director Questionnaire
Release Data to LSU
Continuing House Officers
Instructions for Continuing House Officers
PER 3
Agreement of Appointment (Program Coordinators Only)
LSBME Release
VA Training Information and Acknowlegement Form- Returning Residents* *if needed
Contact Ms. Janice Williams at 504-565-4873 with any questions about VA forms.
Transferring House Officers
(Transferring from one LSU program to another, including UMC-Lafayette)
Checklist for Transferring House Officers
GME Data Sheet
PER 3
ILPH / HCSD Packet *if needed
See House Officer Document Page for individual forms
VA Resident Application and Documents - New Residents* *if needed
Contact Ms. Janice Williams at 504-565-4873 with any questions about VA forms.
VA Training Information and Acknowlegement Form- Returning Residents* *if needed
Contact Ms. Janice Williams at 504-565-4873 with any questions about VA forms.
Agreement of Appointment (Program Coordinators Only)
Extra-Curricular Form
FCVS Form
LSBME Release
Terminating House Officers
Instruction Sheet for Terminating House Officers
PER 3
ILPH Check Out / Medical Record Reassignment Forms *if applicable
LSU Personal Data Change Form
Exit Survey (for House Officers completing or resigning from programs)
Program Separation Packet (Actions needed by resident before separation)
Post Program Completion Packet
Promote / Transfer / Terminate / Off-Cycle Spreadsheets
Promote, Transfer, and Terminate (Auto-populated from New Innovations)
Transfer without Promotion (must be manually completed)
Off-Cycle (must be manually completed)
Becoming Faculty (must be completed manually)
Other Forms
Residency / Fellowship Appointment Form (Auto-populated from New Innovations)
Release Data From LSU
VA TQCVL (Resident Credential Verification Letter)*
(Sample Completed Letter) Contact Ms. Janice Williams at 504-565-4873 with any questions about VA forms.
Certificate Order Form
Malpractice Form
Medical School Visiting House Officer - Patient Care
Documents for Visiting House Officer - Patient Care (Revised January 2012)
Data Sheet for Visiting Residents and Fellows (Revised January 2012)
ILPH / HCSD Appointment Packet (separate documents available here)
Sample Letter for Patient Care visiting resident (Revised January 2012)
Pelican / EPIC Training Request Form
Dental School Visiting House Officer - Patient Care
Documents required for a visiting House Officer – Patient Care – Dental School (Revised January 2012)
Data Sheet for Visiting Residents and Fellows – Dental School (Revised January 2012)
Sample Letter for Visiting House Officer-Patient Care – Dental School (Revised January 2012)
ILPH / HCSD Appointment Packet (separate documents available here)
Pelican / EPIC Training Request Form
Drug Testing Instructions
