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Morsani College of Medicine
Graduate Medical Education
Morsani College of Medicine
Graduate Medical Education
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Graduate Medical Education
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Morsani College of Medicine
Graduate Medical Education
Forms & Templates
Forms & Templates
Resident / Fellow
Certificate Replacement Request Form
EPIC Training Registration Instructions & Form
Graduating/Exit Requirements Form
Offsite Rotations
Health & Benefits
COBRA Forms
Letter
Enrollment Form
Communicable Disease Prevention Certification Form
Direct Deposit Form
Extended Leave – Pool Request Form
House Officer Contract (Sample)
Leave of Absence Form
Moonlighting Forms:
FY 22-23-ML Form
UHC Life Insurance Beneficiary Form
UHC Dental Vision Enrollment Form
UHC Health Enrollment Forms
Reimbursement
Travel Request Checklist
Pre-Approval (TAR) Form
T & E Form
Program / GMEC
Attestation Statement
Crisis Management Toolkit
Fitness for Duty Assessment
For Program Directors
For Residents/Fellows
Non-Match Candidate Application
Candidate Pre-Screening Form
Offer Letter
(Sample)
Program Letter of Agreement (PLA)
PLA Template
Scope of Practice Template
Visiting Residents
Instructions & Approval Form
Communicable Disease Prevention Certification Form
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)