Graduate Medical Education

Forms, Policies, and Notices

Housestaff

Policies and Guidelines

Licensure and Registration

New Residents

  1. State Oath of Allegiance and Patient Agreement, UPAY585 (R11/2011) PDF - [803 kb]
  2. Application - [119 kb]
  3. Dean's Report - [522 kb]
  4. Report of Performance - [518 kb]
  5. Acknowledgement of Child Abuse Reporting & Elder/Dependent Adult Abuse Report form Word Document - [75 kb]
  6. W-4 PDF - [455 kb]
  7. W-4 Non-Resident: 1) Non-Resident W-4 Form; 2) Non-Resident Federal Instructions; 3) Non-Resident State Instructions; 4) Supplemental Instructions for Nonresident Aliens
  8. Payroll Wage Distribution Request PDF - [54 kb]
  9. Statement Concerning Your Employment in a University Position Not Covered by Social Security PDF - [32 kb]
  10. Employment Eligibility Verification form I-9 PDF - [379 kb]
  11. Certificate of Foreign Status for Federal Tax Withholding PDF - [6506 kb]

Visiting Residents

  1. Biographical Data Form
  2. UCSD Resident/Fellow Position Description
  3. HIPAA Memorandum
  4. Information Security Awareness Information Sheet
  5. Acknowledgement of HIPAA Training
  6. HIPAA Confidentiality Agreement
  7. California Medical License Registration Form - Non-Navy Applicant PDF - [111 kb]
  8. California Medical License Registration Form - Navy Applicant
  9. UCSDs Standards of Business Conduct Acknowledgement Form PDF - [1560 kb]

HIPAA

Benefits

Active Trainees

COBRA

Program Directors

Program Coordinators

New Appointee Checklist

New Programs and Program Changes

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