FCVS Release Form

FCVS Release Form

Form Name:

FCVS Release Form

Completed By:

House Officer

Used When:

Completed by all incoming House Officers

Purpose:

Allows LSU to provide information about House Officer program progress to the Federal Credentials Verification Service.

Direct Questions To:

Sara Blakemore

Form Link:

Autopopulated for newhires: Newhire Documents

Instructions for Completing Form

This form is completed automatically as part of the online Newhire Documents process.  It is included in the Newhire Packet that is submitted to the GME Office. It is also completed and submitted to the GME office when a House Officer is transferring between programs.

Other Info

 

Places This Form is Referenced

LSU GME Knowledge Base

Copyright 2020 LSU School of Medicine unless otherwise specified.