| Form Name: | Release Data From LSU Form |
|---|---|
| Completed By: | Resident |
| Used When: | When a resident is transferring to an external program |
| Purpose: | This form authorizes LSU to release information about the transferring resident to the program they are transferring into. |
| Direct Questions To: | GME Office |
| Form Link: | Release Data FROM LSU.pdf |
Instructions for Completing Form
Resident should compete form and submit to Program Coordinator.
Other Info
For residents transferring in, see the Release Data To LSU Form.
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