Welcome packets for mailing to new hires:

Coordinators, please mail or email the appropriate forms below to your new hires along with postage paid return envelopes. Include 2 return envelopes (one addressed to the GME office, and one to the program coordinator) when mailing to interns so that they can mail back the Request for Special Consideration form separate from the other forms if necessary.

Please use the Welcome Packet Checklist when preparing your packets.

Instructions for Uploading Files into Verinform

GME-Required Institutional Documents:

New Hire & Promotion Forms

Appointment Agreement (Contract) Updated!

New Hire/Promotion Paperwork Checklist- Updated!

Code of Conduct -Compliance Awareness Training: Study Guide, Test

Combined Data Sheet/Resident Application- Updated!

HIPAA Exam, HIPAA Study Guide

License Requirement Agreement

List of Housestaff Request

Postgraduate Training Registration Form - unlicensed trainees only

Medical Records Agreement

Previous Training & Competency Verification Form

Release of Information Form

Reorientation of Housestaff- Upload in Verinform -don't turn in to the GME Office

Rotation Change Form - Mandatory for Intern Schedule Changes

Year End Forms

              Employee Status Change - Required              

              Diploma Request Form

Graduating/Exiting Housestaff Form

Other Forms

          Los Angeles County Evidence of Self-Insurance

          Rotation List for Visiting Residents - NEW. Required.

             Complete and send to GME office at least 1 week prior to rotation(s)

             Affiliating Resident/Fellow Questionnaire - Required for all visiting residents and

             fellows

             Sick Buy Back Form 2010