Global Health Forms for Residents
Completion of forms is required prior to travel and kept with Lauren Monus, EM Residency and Curriculum Coordinator.
Forms for Residents (Word docs)
- Resident Checklist (for Completion Prior to Participation in a University-Approved Global Health Experience)
- Form 1: Request Form (Request for Global Health Rotation/Medical Mission)
- Form 2: Consent & Waiver (Acknowledgement of informed consent, waiver, and release agreement)
- Form 3: Vaccinations Proof (Travel consult / proof of CDC-recommended vaccinations)
- Form 4: Itinerary & Contact (Travel itinerary and contact information)