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
Purpose:	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.

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