1 - Your Request to Add a New Participating Site must be submitted to GMEC, by email, to Dr. Odinet Frey - send email to rodine@lsuhsc.edu
- email to include the following information:
- Institution Name
- Institution Address
- Address Line 1
- Address Line 2
- Address Line 3
- City
- State
- Zip Code
- Website Address
- Is the site a recognized healthcare entity by any of the following (check all that apply):
-
Joint Commission - Community Health Accreditation Program (CHAP)
- Accreditation Commission for Health Care (ACHC)
- DNV
- State regulatory commission
- Medicare Direct - CMS
- HFAP
- None
- Other (provide name)
- CEO/President/Director Information:
- First Name
- Middle Initial
- Last Name
- Suffix
- Degrees
- Title
- Phone Number
- Fax Number
- Email Address
- Educational Rationale
- the # of months per year that trainees rotate at the new site
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