Release Data From LSU Form

Form Name:	Release Data From LSU Form
Completed By:	Resident
Used When:	When a resident is transferring to an external program
Purpose:	This form authorizes LSU to release information about the transferring resident to the program they are transferring into.
Direct Questions To:	GME Office
Form Link:	Release Data FROM LSU.pdf

Instructions for Completing Form

Resident should compete form and submit to Program Coordinator.

For residents transferring in, see the Release Data To LSU Form.