Release Data To LSU Form

Form Name:Release Data To LSU Form
Completed By:Resident
Used When:When a resident is transferring from an external program

This form authorizes another institution to release information about the incoming transferring resident to the LSU program they are transferring into.

Direct Questions To:GME Office
Form Link:Release Data TO 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 From LSU Form.

Places This Form is Referenced

LSU GME Knowledge Base

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