Forms
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