Form Name: | Release Data To LSU Form |
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Completed By: | Resident |
Used When: | When a resident is transferring to from an external program |
Purpose: | This form authorizes another institution to release information about the incoming transferring resident to the LSU program they are transferring into. |
Direct Questions To: | GME Office |
Form Link: | Release Data TO 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 From LSU Form.
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