GME Registration Materials
We have included all of the documents that must be completed prior to the start of your residency. Please complete the forms and return to the GME Office by May 17, 2013. Please note that in addition to the forms listed below there is an addition document called the I-9 that must be completed in person before you can be placed on payroll.
Also, please note that all employees of the University of Tennessee are required to have payroll direct deposit. If you come the GME Office please bring with you a voided check, otherwise please bring to Orientation.
GME Resident Orientation Schedule
Forms
ALL FORMS MUST BE RETURNED BY MAY 17, 2013
- GME Orientation Checklist
- Agreement of Appointment
- Criminal Background Check Form
- Registration Form
- Personal Data Form
- Competency Information Form
- UT Payroll Authorization Form
- Resident Support Deduction Form
- Health Insurance Enrollment Form
- Health Insurance Declination Form
(if you are declining UT health insurance) - Life Insurance Form
- Disability Insurance Information
- Outside Interests Disclosure Form
- Immunization Record
- Health Statement Form
- Memphis Medical Society Application
Marilyn McWilliams
251 S Claybrook 2nd Floor
Memphis, TN 38104
901.516.8255
Elston Howard
1030 Jefferson Avenue
Education Office
Memphis, TN 38104
901.577.7395
- VAMC Paperwork Pointers
- Instructions #1
- Instructions #2
- VA Statement of Commitment
- VA Declaration
- VA Application
- VA Appointment
- VHA Mandatory Training for Employees
- VHA Training Screen Shots Note: Be sure to record your chosen username and password for future use. Take the course, print off your certificate, and keep it for presentation to the VA. Please call Elston Howard at 901.577.7207 with any questions.
- VA Fingerprint Record
- VA Contacts for Compliance Documents
Regina Rogers
6019 Walnut Grove
Memphis, TN 38120
901.226.1350
Annie Lewis
Physician Liaison
The Regional Medical Center at Memphis
877 Jefferson Ave.
Memphis, TN 38103
(901) 545-7825
alewis@the-med.org
Karen Ariemma
50 N. Dunlap 6th Floor
Memphis, TN 38103
901.287.6210
RETURN ALL REGISTRATION MATERIAL TO:
UT Graduate Medical Education
Attn: GME Coordinator
910 Madison Avenue Suite 1031
Memphis, TN 38163
Contact Us
Office of Graduate Medical Education
Eugene Mangiante, MD
Executive Associate Dean
910 Madison Avenue
Suite 1031
Memphis, TN 38163
Phone: (901) 448-5364
Fax: (901) 448-6182
