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Form Name:Program Director Letter
Completed By:Program Coordinator / Program Director
Used When:Submitted yearly to the LSBME.
Purpose:

Required by the LSBME to inform them which residents will be active in your program for the upcoming academic year.

Direct Questions To:LSBME
Form Link:GME Online Appointment Forms

Instructions for Completing Form

Download completed letters for each resident from GME Online Appointment Forms.  Letters must be signed by the Program Director and then submitted with the LSBME Permit Renewal Spreadsheet to the GME Office.

Incoming House Officers - LSBME Program Director Letter:

Download completed letters for each incoming resident from the GME Online Appointment Forms.  Letter must be signed by the Program Director and then submitted to the LSBME at:  licensing@lsbme.la.gov  If sending via FedEx, address to Mr. Matthew Cook. Licensing Analyst Supervisor, 630 Camp Street, New Orleans, LA 70130 

Other Info

See GME Online Appointment Forms for additional information about downloading form.

Program Contact Information displayed in the letter comes from the contact information attached to the Program Director as specified in New Innovations.  Any changes can be made to the Office Address and Office Phone entries attached to the Program Director's Personnel Data.  Changes made will be reflected on the letter the following day.


Places This Form is Referenced

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