Request Forms
The following request forms have been uploaded to the New Innovations Intranet. After login, click the “More” menu, then select “Resources” and select the “Department Manuals” tab.
Program Updates or Changes
- Participating Site Change Request
- Complement Request Funding Form
- Adding New Personnel or Changing Privileges in New Innovations
- MD Anderson Rotation Request – UT Residents going to MDA
- TMB Program Director’s Report
- Contract Exception Request Form
New Programs
- Program Letter of Agreement Template (PLA)
- Application Process for New Training Programs
- Application For Board-Approved Fellowship
Away Electives & Visiting Residents
- Application for Away Elective Rotation
- Pre-Registration for Visiting Resident
- Out of State Visitor – Sample Program Director Letter to TMB
Interviews & Onboarding
- Demographic Sheet for Interview Applicants
- IMG Document Review Worksheet for Coordinators
- IMG Document Review Worksheet for Applicants
- Resident White Coat Order Form
- Resident Parking Packet
- Resident Sample Agreement
Graduates
Program Tools & Resources
- Moonlighting Request
- Improvement Plan Table
- Template Individual Learning Plan
- UTHealth PEC Minutes Form
Resident & Fellows
- Anonymous Report of Resident Concerns & Duty Hour Violations
- Reporting an Injury (Safety, Health, Environment, and Risk Management)
- GME Fatigued Resident Travel Reimbursement Form (NOTE: You must also submit a completed and signed Self Attestation Form
Leave Requests
Funding
HOW TO Guides
- HOW TO – New Rotation
- HOW TO – Modify/Archive
- HOW TO – Assignment/Continuity Clinic
- HOW TO – NI-Security-New-Personnel-Process
- HOW TO – Prior Month Rotation/ Bill To Change Request Process
- HOW TO – Requesting a new chartfield string (CFS)
- HOW TO – Update/ Upload PLAs in New Innovations