IMPORTANT - Links beginning with a * have not yet been updated for the 2014-2015 academic year
2014 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 (Forms Only)
ILPH / HCSD Packet (Forms Only) *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 EKL and UMC)
Checklist for Transferring House Officers
GME Data Sheet
PER 3
ILPH / HCSD Packet (Forms Only) *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
Release Data From LSU (if resident transferring to a non-LSU program)
Promote / Transfer / Terminate / Off-CycleSpreadsheets
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
Medical School Visiting House Officer - Observing
LSU no longer accepts visiting House Officers for observerships.
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 - Observing
LSU no longer accepts house officers for observerships.
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
