IMPORTANT - Links beginning with a * have not yet been updated for the 2010-2011 academic year
2012 Due Dates for Paperwork & Drug Testing
New Hires
Checklist for New Hires Only
Cover Sheet for New Hire Packet-Budget Page
Per 2
New Hire Welcome Packet (Forms Only)
ILPH / HCSD Packet (Forms Only) *if needed
See House Officer Document Page for individual forms
VA Resident Application *if needed
VA Training Information
Agreement of Appointment
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
Checklist for Continuing House Officers
PER 3
Agreement of Appointment
Transferring House Officers
(Transferring from one LSU program to another, including EKL and UMC)
Checklist for Transferring House Officers
PER 3
ILPH / HCSD Packet (Forms Only) *if needed
See House Officer Document Page for individual forms
VA Resident Application *if needed
Agreement of Appointment
Extra-Curricular Form
Terminating House Officers
Checklist 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
Release Data From LSU (if resident transferring to a non-LSU program)
Promote / Transfer / Terminate / Off-CycleSpreadsheets
Promote
Promote & Transfer
Terminate
Transfer
Off-Cycle
Becoming Faculty
Other Forms
Resident Appointment Form
Fellowship Appointment Form
Release Data From LSU
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 December 2011)
Data Sheet for Visiting Residents and Fellows (Revised December 2011)
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 January 2012)
Data Sheet for Visiting Residents and Fellows (Revised January 2012)
Visiting House Officer – LSU Interim Hospital Appointment Form
Sample Letter for Patient Care visiting resident (Revised January 2012)
Dental School Visiting House Officer - Observing
Documents for Visiting House Officer – Observation – Dental School (Revised January 2012)
Data Sheet for Visiting Residents and Fellows – Dental School (Revised January 2012)
Visiting House Officer – LSU Interim Hospital Appointment Form
Sample Letter for Observing Visiting Resident – Dental School (Revised January 2012)
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)
Visiting House Officer – LSU Interim Hospital Appointment Form
Drug Testing Instructions
