Forms
PROMOTING OR TRANSFERRING
PHYSICIAN |
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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)
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