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  Info for Incoming Housestaff

Credentialing Forms

  • Final Reference Form
  • Release of Information
  • Supplemental Application
     

Employee Health Forms

  • Cover Letter-Immunizations List
  • Drug Screen Instructions
  • Questionnaire
  • Respirator Fit Testing

Links

  • GME Home Page  
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General Forms

  • Checklist
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  • Electronic Access Agreement
  • FAC Form
  • Lab Coat Order  
    (Uniform Measurement Form)
  • NetLearning Instructions
  • Orientation Attendance 
  • Personal Information

Human Resources Forms

  • Background Check - VA
  • Background Check - Out of State  
    (Consent to Request Consumer Report & Investigative Consumer Report Information )
  • Foreign National Information Form
  • I-9 
  • Name/Address Change
  • Selective Service Compliance
  • W-4 Federal Tax Form
  • VA-4 State Tax Form

Phone Numbers

  • GME Office: 434-924-2047
  • Employee Health: 434-924-8001
  • Joyce Adkins: 434-924-8145
  • Rebekah Bernier: 434-243-9381

Last modified on: October 20, 2009

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Graduate Medical Education

PO Box 800136

Charlottesville, VA 22908

434-243-9381

fax: 434-924-0401

Maintained by Rebekah Bernier

© 2008 by the Rector and Visitors of the University of Virginia

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