Appointment Packet
Form Name: | Academic Year Appointment Packet |
|---|---|
Completed By: | Program Coordinator and House Officer |
Used When: | Submitted Yearly to the GME Office |
Purpose: | This packet contains all forms required yearly by the GME Office for all House Officers. |
Direct Questions To: | GME Office Staff GME Onboarding |
Form Link: |
Appointment "Packet" items:
Appointment “Packet” includes FCVS Release, LSBME Release, COVID/Immunization Release, HO Manual Acknowledgement, Health Requirements Worksheet (Immunization Information with attachments), Moonlighting Form (signed by house officer, PD, and Dept. Chair), TB test submitted to GME (tested within 3 months of start date).
All forms emailed to house officer's LSUHSC email to be completed electronically (excluding TB test)
TB testing proof must be submitted to GME via GME Document Submission Site .
All "Packet" items status are tracked on the GME Process Tracker
The packet consists of the following forms:
- Agreement of Appointment (GME A)
- TB Form (GME-B)
- Driver Safety Form (GME-C)
- House Officer Moonlighting Form (GME-D)
- Health Requirements Form (GME-E)
Other Info
The packet cover sheet should be submitted to the GME Office with all required attachments. The cover sheet will indicate if specific forms are needed or not (based on documentation already submitted to the GME Office).