Forms & Templates
Resident / Fellow
- Certificate Replacement Request Form
- EPIC Training Registration Instructions & Form
- Graduating/Exit Requirements Form
- Lab Coat Ordering Guide
- Offsite Rotations
Health & Benefits
- COBRA Forms
- Communicable Disease Prevention Certification Form
- Direct Deposit Form
- Extended Leave – Pool Request Form
- Health, Life & Disability Insurance Enrollment Forms
- House Officer Contract (Sample)
- Leave of Absence Form
- Moonlighting Form
- Standard Beneficiary Form
Reimbursement
Program / GMEC
- Annual Program Review Protocol (Sample)
- Annual Program Review Report Outline (Sample)
- Attestation Statement
- Non-Match Candidate Application
- Offer Letter (Sample)
- Program Letter of Agreement (PLA)
- Request for a New Rotation-Assignment
- Scope of Practice Template
- Visiting Residents
- New Program Request Form (GMEC)
- Request For Change in Program Director (GMEC)
- Request for a New Rotation Site (GMEC)
- Resident/Fellow Complement Change Form (GMEC)