Healthcare Network Break Glass Form

Healthcare Network Break Glass Form

Form Name:

Healthcare Network Break Glass Form

Completed By:

House Officer

Used When:

Completed by incoming House Officers in programs that rotate to LSU Healthcare Network facilities.

Purpose:

Acknowledgement of the LSU Healthcare Network Break Glass Policy.

Direct Questions To:

Sara Blakemore

Form Link:

Auto-populated via 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.

Other Info

 

Places This Form is Referenced

LSU GME Knowledge Base

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