Forms & Templates

Forms for Processing Residents Welcome Letter Template Incoming Residents Badge Request Departing Residents Renewing Residents Process for Accepting Transferring Residents TQVCL Letter for VA	Social Security Disclosure Forms UT Residents Military Rotators Forms for Resident Applicants Acknowledgement of receipt GME Info Disclosure of SSN Form Authorization to Release Information (all other requests)

NRMP Attestation PD Attestation Memo Template	ADS-related Forms Adding a Participating Institution to ADS

Resident Challenges Probation Letter (.doc) Template for Administrative Status Letter (.doc) Non-Promotion Letter Template (.doc)

Verification of Training Verification of Internship Template Verification of Training Completed Greater than 5 Years Ago Template Verification of Training Prior to Graduate Letter (within final weeks of residency) Template Verification of Training (recent graduate, with request for malpractice information) Template

Evaluations Residents & Fellows Final Summative Evaluation UTHSCSA Personal Learning Plan Form The Clinical Competency Committee Program Annual Review of Program Effectiveness (ARPE) Alumni Survey Template Resident-Fellow Evaluation of the Residency Faculty Evaluation of the Residency
Other Forms Program Director Oversight of Site Director form (.doc) Template for appendix to contract for residents/fellows paid by UTHSCSA Clinical Competence Committee Minutes template (July 2012)