Get Urmc Moonlighting Paperwork Form
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How to fill out the Urmc Moonlighting Paperwork Form online
This guide provides a clear and professional overview of how to complete the Urmc Moonlighting Paperwork Form online. By following these step-by-step instructions, users can navigate the process seamlessly and ensure all necessary information is accurately submitted.
Follow the steps to successfully complete your paperwork.
- Press the ‘Get Form’ button to access the moonlighting paperwork form and open it in your preferred editor.
- Begin filling out the 'Strong Health Moonlighting Request Form' by entering your name in the designated area, confirming your understanding of the requirements, and signing the document.
- Next, complete the sections regarding your training program, including your year of residency or fellowship, and ensure the program director's signature is included to validate your request.
- Move on to the 'Strong Health System Credentials & Privilege Review' section, specifying the hospitals where you are applying for privileges and entering your identifying information accurately.
- Provide details related to your DEA certification under the 'DEA Statement' section, ensuring you indicate whether you will utilize an institutional DEA number or have your own.
- Fill out the 'Statement of Assurances' to confirm your commitment to adhere to hospital bylaws and regulations while providing patient care.
- Complete the 'Consent to Release of Information' form with all necessary name and date information to allow for the processing of your application.
- Once all sections are completed, review the paperwork for accuracy, then save your changes. You can choose to download, print, or share the completed form as needed.
Start filling out your Urmc Moonlighting Paperwork Form online now to ensure compliance and secure your privileges.
Accessing your URMC email is straightforward, and it is crucial for staying connected with your colleagues and program. Simply navigate to the URMC website, find the email login portal, and enter your credentials. If you need assistance, utilizing the Urmc Moonlighting Paperwork Form can direct you to resources for support, ensuring you communicate effectively while managing your moonlighting opportunities.
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