IMPORTANT - Links beginning with a * have not yet been updated for the 2010-2011 academic year
2010 Paperwork Due Dates
New Hires
Checklist for New Hires Only
Cover Sheet for New Hire Packet-Budget Page
Per 2
New Hire Welcome Packet
ILPH (MCLANO) Personal Data Form *if needed
ILPH (MCLANO) Appointment Form *if needed
ILPH (MCLANO) Signature File *if needed
ILPH (MCLANO) Code Grey Policy *if needed
ILPH (MCLANO) Code Grey Acknowledgement *if needed
ILPH (MCLANO) Code of Conduct Policy *if needed
ILPH (MCLANO) Code of Conduct Attestation *if needed
VA Resident Application *if needed
Agreement of Appointment
Continuing House Officers
Checklist for Continuing House Officers
PER 3
Agreement of Appointment
Transferring House Officers
Checklist for Transferring House Officers
PER 3
ILPH (MCLANO) Personal Data Form *if needed
ILPH (MCLANO) Appointment Form *if needed
ILPH (MCLANO) Signature File *if needed
ILPH (MCLANO) Code Grey Policy *if needed
ILPH (MCLANO) Code Grey Acknowledgement *if needed
ILPH (MCLANO) Code of Conduct Policy *if needed
ILPH (MCLANO) Code of Conduct Attestation *if needed
VA Resident Application *if needed
Agreement of Appointment
Extra-Curricular Form
Terminating House Officers
Checklist for Terminating House Officers
PER 3
* MCLANO Check Out Forms *if applicable
* MCLANO Medical Record Reassignment Form *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 Spreadsheets
Promote
Promote & Transfer
Terminate
Transfer
Becoming Faculty
Other Forms
Resident Appointment Form
Fellowship Appointment Form
Bogalusa Appointment Form
VA RCVL (Resident Credential Verification Letter)
Contact Ms. Janice Williams at 504-565-4873 with any questions about VA forms.
Medical School Visiting House Officer - Observing
Documents for Observing Visiting House Officer (Revised Feb 09)
Data Sheet for Visiting Residents and Fellows (Revised 2-17-09)
Visiting HO Account Application
Visiting House Officer – LSU Interim Hospital Appointment Form
Sample Letter for Observing visiting resident
Medical School Visiting House Officer - Patient Care
Documents for Visiting House Officer - Patient Care (Revised Feb 09)
Data Sheet for Visiting Residents and Fellows (Revised 2-17-09)
Visiting HO Account Application
Visiting House Officer – LSU Interim Hospital Appointment Form
Sample Letter for Patient Care visiting resident
Dental School Visiting House Officer - Observing
Documents for Visiting House Officer – Observation – Dental School (Revised Feb 09)
Data Sheet for Visiting Residents and Fellows – Dental School
Visiting House Officer – LSU Interim Hospital Appointment Form
Visiting HO Account Application
Sample Letter for Observing Visiting Resident – Dental School
Dental School Visiting House Officer - Patient Care
Documents required for a visiting House Officer – Patient Care – Dental School
Data Sheet for Visiting Residents and Fellows – Dental School
Sample Letter for Visiting House Officer-Patient Care – Dental School
Visiting HO Account Application
Visiting House Officer – LSU Interim Hospital Appointment Form
Drug Testing Instructions
