Forms
Contacts
Robbin Bankston
Program/Office Manager
RBankston@stanfordhealthcare.org
650-736-7487 (office)
- Daily operations / supervision of the GME office
- Allowances (Bonuses, On Call Meals, etc.)
- Benefits
- Payroll
- Leave of Absences
- Orientation
Marcy Kulakow, BA
Registrar
MKulakow@stanfordhealthcare.org
650-723-5948 (office)
- CA Medical Licensure Process
- EPIC for House Staff
- HealthStream
- Incoming House Staff
- IT for SHC & SCH for House Staff
- MSOW Database for House Staff
- Visiting Residents
- Website Management
- Notary
Mitra Haddad, BA
Administrative Coordinator
MHaddad@stanfordhealthcare.org
650-723-5948 (office)
- Away Electives Rotations
- Continuing House Staff
- Outgoing/Graduating House Staff
- Loan Deferments/Forbearances
- Postdoctoral Appointments
- Reimbursements
- Notary
- Jury duty Letter
- Certificates
Last Revised 1/23/2018
Forms |
|||
---|---|---|---|
Form | Deadline | Contact Person | Note |
60 days prior to the start of a new away rotation | Mitra Haddad |
|
|
Checkout Form for House Staff | last day of training | Mitra Haddad |
|
Leave of Absence (LOA) Form |
30-45 days prior to your first day of leave | Robbin Bankston |
|
Life Support Training Center (LSTC) Registration Form | as needed | Fax to the GME Office 650-723-3045 or e-mail to gme@med.stanford.edu |
|
Live Scan Service Request | submit form with CA MD License processing | - |
|
Reimbursement Form | Varies, please read the form carefully |
Mitra Haddad |
|
Sharps Training Checklist | September | Occupational Health | |
Welch Road Apartment Application Form | Before May 1st | gme@med.stanford.edu |
|