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Form Name:GME Verification Letter
Completed By:Program Coordinator / Program Director
Used When:Upon a House Officer's completion or discharge from a program.
Purpose:

This form is completed and submitted to the GME Office to provide residency program verification to hospitals and employers of our past House Officers.

Direct Questions To:Ashley Walker
Form Link:GME Online Appointment Forms

Instructions for Completing Form

A partially completed form for each departing House Officer may be downloaded from the GME Online Appointment Forms system.  The Program Director should complete any missing information and submit the signed original form to the GME Office.

A completed verification form with annotations is available here to provide guidance.

Other Info

See GME Online Appointment Forms for additional information about downloading form.

 

Places This Form is Referenced

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