Visiting residents interested in participating in elective rotations at the University of Arizona College of Medicine must complete the Visiting Resident Application.
Please download the form to your computer before opening it. Not all web browsers support fillable PDFs.
Contact hours verification form for the title approval process.
Must be submitted every three years or if contact information for the monitor or coordinator changes. Submit this form no sooner than one week prior to the day that monitor access will be needed.Monitors who do not have a signed and current UAHN System User Agreement must fill out and sign a new agreement. Ensure that at least one study IRB number is entered on the form, along with the dates that the monitor will be on-site. If the monitor is working on more than one study that requires access to records, we recommend that all of the study IRB numbers be included on the form. Fax the form to (520) 694-0222. The study coordinator can also check CARS (in Citrix) or contact the UAHN helpdesk (694-4357) to check if a monitor already has a signed and current UAHN System User Agreement.
Adding New Hire Request, Recruitment Request, or Status Change Request. Submit to Rebecca Howlett
See the routing process flowchart for this form here.
Application to begin scanning documents in collaboration with COM ITS Records Management. Should be filled out and submitted to Mike Jean, mjean@medadmin.arizona.edu.
Required application form. Submit to Grace Wagner (grace@surgery.arizona.edu).
Required application form and description of the course.
Annual and post-tenure review attachment C (Peer Committee).
Annual and post-tenure review form for department heads to fill out.