Moonlighting Form

Moonlighting Form

Form Name:

Moonlighting Form

Completed By:

House Officer

Used When:

Completed by all incoming and transferring House Officers

Purpose:

Acceptance of the LSU Moonlighting Policy

Direct Questions To:

Sara Blakemore

Form Link:

Automatically included in the Appointment Packet.

Instructions for Completing Form

This form is included as part of the Appointment Packet for incoming and transferring house officers and must be submitted to the GME Office. It must be signed by the House Officer and the head of the department before submission.

Other Info

LSU GME Knowledge Base

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