Registration

The following materials must be sent to the Department of Graduate Medical Education no later than December 4th, 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 December 4th, 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 the Policies & Procedures (PDF) and SHC False Claims Recovery Policy (PDF) for your records)

___ Completed and signed House Staff Information Form (PDF)

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

___ 2009 W4 Form (PDF)

___ Child Abuse Reporting Form (PDF)

___ Health Practitioner Abuse Notification (PDF)

___ Confidentiality Form (PDF)

___ Certificate of completion request (PDF)

___ Application for Welch Road Apartments (PDF) (optional; lottery will be held on May 4)
(Only available to Residents/Fellows that start July 1st, 2010)

___ 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 December 4th, 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)