Harbor UCLA Medical Center Graduate Medical Education
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PGY 1 INTERN

          

PGY 2-7 RESIDENT/FELLOWS

PROMOTING OR TRANSFERRING

PHYSICIAN

 

Instructions for Uploading Files into Verinform

New Hire/Promotion Paperwork Checklist- Updated!

List of Housestaff Form

Previous Training & Competency Verification Form

Non-County Paid HR Requisition Form - New! Required for All Non-County Paid Housestaff

Reorientation of Housestaff form- for existing housestaff only - not new hires. Upload in Verinform -don't turn in to the GME Office

Rotation Change Form - Mandatory for Intern Schedule Changes

Year End Forms

           Employee Status Change - Required              

           Diploma Request Form

           Graduating/Exiting Housestaff Form

Other Forms

      

        Los Angeles County Evidence of Self-Insurance 

        Rotation List of Visiting Residents

           Complete and send to Sally Oliver in GME office at least 2 weeks prior

           to rotation(s)

          Affiliating Resident/Fellow Questionnaire - Required for all visiting

          residents and fellows

          Sick Buy Back Form 2011

          Employee Health Clearance Form for Visiting Students and Residents

          Campus Map (effective 5/2/11)