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

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.

Other Info

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


Places This Form is Referenced

LSU GME Knowledge Base

Copyright 2020 LSU School of Medicine unless otherwise specified.