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Form Name:Moonlighting Form
Completed By:House Officer
Used When:Completed by all incoming and transferring House Officers
Purpose:

Acceptance of the LSU Moonlighting Policy

Direct Questions To:Ashley WalkerSara Blakemore
Form Link:

Automatically included in the Appointment Packet.

Moonlighting Form.pdf


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nameMoonlighting Form.pdf
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Instructions for Completing Form

This form is included as part of the Appointment Packet for incoming and transferring house officers and must be submitted to the GME Office. It must be signed by the House Officer and the head of the department before submission.

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