Registration

The following materials must be sent to the Department of Graduate Medical Education no later than May 1st, 2009 in the return envelope that was included in your contract packet.

Items that must be completed before attending orientation:

___  I-9 Instructions (PDF)

___ 
I-9 Employment Form (PDF)
         Print out and bring your I-9 receipt to Orientation

___   House Staff Background Check (PDF)
          Must be submitted online no later than May 29th, 2009

___  Occupational Health New Resident Form (PDF)
          Schedule pre-hire physical, send Immunization Records to Occupational Health

Forms that need to be sent to the GME office:
___ Signed contract and Curriculum Vitae.
        (Keep the copy of  Policies and Procedures (PDF) for your records).
        SHC False Claims Recovery Policy (PDF)


___  Completed and signed  House Staff Information Forms  (PDF)

___  Environmental Health and Safety Overview Acknowledgement   (PDF)
         (No Longer Required)

___  2009 W4 Form  (PDF)

___  Child Abuse Reporting Form  (PDF)

___  Confidentiality Form  (PDF)

___  Certificate of completion request (PDF)

___  Application for Welch Road Apartments  (PDF) (optional) 
         Lottery will be held on May 4.

___ Completed and signed  postgraduate training registration form (PDF)
(only if you do not have a CA MD license) (Do not send this form to the Medical Board of CA)

___ Copy of your medical school diploma (if available)  
        If not available, please bring a copy to orientation

___ Copy of your current CA MD license (if available)

___ Copy of your ECFMG certificate (if applicable)

Graduate Medical Education Mailing Address
Stanford Hospital & Clinics
Department of Graduate Medical Education
300 Pasteur Drive, Room HC435
Stanford CA 94350

___________________________________________________________________________

Interns, Residents and Fellows rotating to the VAPAHCS:
The following forms need to be submitted to the appropriate VA House Staff Coordinator via mail, email or fax no later than May 22nd, 2009.

___  VAPAHCS Welcome Letter (PDF)

___  VAPAHCS Campus Map (PDF)

___  Stanford In-Processing Checklist (PDF)

___  Requirement #2 - Electronic Fingerprint Verification Form (PDF)

___  Requirement #3 - Sample SF 85 (PDF)    

___  Requirement #3 - SF 85 Questionnaire for Non-Sensitive Positions (PDF)

___  Requirement #3 - SF 86A Continuation Sheet for Questionnaires (PDF)

___  Requirement #4 - Sample OF 306 (PDF)

___  Requirement #4 - OF 306 Declaration for Federal Employment (PDF)

___  Requirement #5 - VA Information Security and VHA Privacy Policy (PDF)

___  Requirement #6 - PIV ID Documentation Criteria (PDF)

___  Requirement #7 - SF 88 Report of Medical Examination (PDF)

___  Requirement #8 - 10-2850b Application for Residents (PDF)

___  Requirement #9 - GME Data Sheet Sign In Form (PDF)

 

 

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