Release Data To LSU Form
Form Name: | Release Data To LSU Form |
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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.
Other Info
For residents transferring in, see the Release Data From LSU Form.
Places This Form is Referenced
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Release Data To LSU Form (Forms & Documents)
LSU GME Knowledge Base
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