Graduate Medical Education

On Line Credentialing

Most of the forms can be filled out on your computer and then printed, notarized (if needed) and submitted via mail to:

University of New Mexico Health Sciences Center
Graduate Medical Education
MSC 11 6093
The University of New Mexico
Albuquerque, NM  87131-5156
(505) 272-6225

For more information contact us by email at  jsparkma@salud.unm.edu.

DISCLAIMER: Downloading of forms below, does not guarantee employment.

Forms for Residents/Fellows

• Application for Post Graduate Training License (3 pages) OR
Application for Dental Interns (11 pages)
• Dept. of Veterans Affairs Application for Residents (4 pages)
• Dept. of Veterans Affairs Application for ID Card (6 pages)
• Dept. of Veterans Affairs Mandatory Training Information (2 pages)
• Authorizations for Release of Information
• UNM Employee Demographics Form
• Form W-4 (Employee Withholdings) (2 pages)
Supplemental Form W-4 Instructions for Nonresident Aliens
• Hepatitis B Vaccine Information/Decline Record Housestaff/Residents/Fellows
• Immunizations
• Physical Examination for House Officers
• Medical History For House Officers
• BlueCross BlueShield Group Enrollment Form (2 pages)
• Delta Dental Enrollment Card
• Vision Insurance Enrollment/Change Form
• Life Benefit Enrollment Form
• P.I.P. Authorization

Insurance Information and Other Info

• BCBS Benefit Book
• Dental Benefit Book
• Vision Benefits
• Frequently Asked Questions

Housing and Realtor Information

• Homes for Sale

Forms for Rotators

• Application for Post Graduate Training License (3 pages)
• Dept. of Veterans Affairs Application for Residents (4 pages)
• Dept. of Veterans Affairs Application for ID Card (6 pages)
• Authorizations for Release of Information
• Immunizations
• Physical Examination for House Officers
• Medical History For House Officers
• Hepatitis B Vaccine Information/Decline Record Housestaff/Residents/Fellows
• UNM Application Form

Forms for Observers

• All applicable forms (in ZIP format) (see Individual forms below)
• Immunizations
• Observer Form
• Non-Employee Background Questionnaire

The following documents can be downloaded. The documents are in Adobe© Acrobat™ PDF format. The free Acrobat reader can be downloaded from Adobe's web site.

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• Comments: HSC Web Team