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Appointment Packet

Appointment Packet

Feb 11, 2026

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:

Online GME Appointment Forms

 

Instructions for Completing Form

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:

Sample Academic Year Appointment Packet

This is a completely filled out 2020-2021 Academic Year Appointment Packet, and represents exactly how the packet should be submitted to the GME Office.  While all of the content in the packet should be checked, the shaded areas call out specific sections of the forms that should be checked closely (signatures and other important pieces of data). 

Note:  This packet is sized to fit on legal paper, which will print all of the forms full-size.  However, it can be reduced comfortably onto letter size pages.

Download Sample Packet

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).

 

Places This Form is Referenced

LSU GME Knowledge Base

Copyright 2020 LSU School of Medicine unless otherwise specified.