| 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.
Places This Form is Referenced
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Release Data From LSU Form (Forms & Documents)