Forms & Templates

The following forms are available on line:

Additional Pay

Annual Program Evaluation and Action Plan

Background Check Consent Form

Charge Sheet

Exiting Resident CLEARANCE FORM

ID Access

Increase in Resident Complement

Infectious Disease & Immunization Summary/TB Respirator Fit Program Questionnaire (new residents)

IS Security

Matching Travel Fund Application

Moonlighting Approval

New Program Request

Positive PPD Questionnaire

Program Agreement Letters

Program Information Sheet

Speaker Guidelines

Speaker Disclosure, Consent & Waiver Form

Temporary Waiver Form (for PPD waiver)

The links below are on the GME Intranet and restricted to University domain users.

You will be prompted to enter your University login and password to access the documents.

The username is university\doej (notice the direction of the slash before your name).

The password is your normal password for University access.

Documents from the Program Coordinators Binder:

GME Program Coordinator's Checklist for New Resident

GME Program Coordinator To Do List

GME New Continuing Exit List

Denver Health Parking Enrollment Form - Residents

Denver Health Resident Badge Form

Denver Health Resident Information Services Access Request

Health One Clinical Access Authorization Form

Health One Physician Confidentiality and Security Agreement

UCD Instructions to Schedule Badge Appointments for Groups

UCD Instructions to Complete the GME Access Control Badge Application

UCD GME Access Control Badge Application

UCH Guidelines to Schedule Badge Appointments for Groups

UCH Physician Computer Access Request

UCH Computer System Security Statement

VA Appointment Affidavits

VA Clinical Trainee Registration Form

VA WOC (without compensation) Letter