Records

Authorization for release of information form 

The Authorization for Release of Information was developed by Graduate Medical Education (GME) in conjunction with the Office of General Counsel. Please use this release when you receive a request for information on a resident or fellow where the requestor does not send a release of information signed by the trainee.  It can be used for incoming, continuing or graduating residents or fellows.  Retain a copy of the completed form in their file.

Reference request form 

The Reference Request and Medical Resident Authorization Form was developed by the Office of General Counsel. Please have the resident or fellow complete this form when they request that someone from the program serve as a reference. Retain a copy of the completed form in their file.