| Form Name: | Checkout House Staff Clearance Form |
|---|---|
| Completed By: | House Officer |
| Used When: | Exiting Program |
| Purpose: | to ensure all facility requirements are complete |
| Direct Questions To: | |
| Form Link: |
Instructions for Completing Form
Other Info
Insert any other pertinent info about form
Places This Form is Referenced
-
UMCNO Meal Card Tracking (Forms & Documents)
-
LCMC Visiting House Officer Packet (Forms & Documents)
-
UMCNO Learner Code of Conduct (Forms & Documents)
-
Visiting House Officer Checklist (Forms & Documents)
-
LSBME Permit Renewal Spreadsheet (Forms & Documents)
-
LSBME Letter of Commitment PGY 2 (Forms & Documents)
-
LSBME Letter of Commitment - PGY 1 (Forms & Documents)
-
Incoming House Officer Checklist (Forms & Documents)
-
Paperwork Submission Timeline (Forms & Documents)
-
EQuIP Participation Outline (Forms & Documents)
-
Summative Letter Template (Forms & Documents)
-
Request for Authorization to Serve Alcohol (Forms & Documents)
-
DIO Transfer Approval Packet (Forms & Documents)
-
Data Sheet for Visiting Residents and Fellows (Forms & Documents)
-
Mask Fit Test Medical Form (Forms & Documents)