Graduate Medical Education
Forms & Templates
Resident / Fellow
Health & Benefits
- Communicable Disease Prevention Certification Form
- Direct Deposit Form
- Extended Leave - Pool Request Form
- House Officer Contract (Sample)
- Leave of Absence Form
- Moonlighting Forms:
- UHC Life Insurance Beneficiary Form
- UHC Health Enrollment Forms
Reimbursement
Program / GMEC
- Attestation Statement
- Crisis Management Toolkit
- Fitness for Duty Assessment
- Non-Match Candidate Application
- Candidate Pre-Screening Form
- Offer Letter(Sample)
- Offsite Rotations
- Program Letter of Agreement (PLA)
- Scope of Practice Template
- New Program Request Form(GMEC)
- Request for Change in Program Director(ACGME Programs)
- Request for Change in Program Director (non-ACGME Programs)
- Resident/Fellow Complement Change Form (GMEC)
- Request for an Exceptional Applicant (GMEC)
- Request for a Rotation, Assignment, or Site (GMEC)
- Waiver/Liability Release