Graduate Medical Education
MSC11 6093
1 University of New Mexico
Albuquerque, NM 87131-5156

Phone: (505) 272-6225
Fax: (505) 272-5184

email

Graduate Medical Education

On Line Credentialing

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.
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
Health Sciences Center
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 Observers

• All applicable forms (in ZIP format) (see Individual forms below)
• Immunizations
• Observer Form

Forms for Rotators

• Application for Post Graduate Training License (3 pages)
• Dept. of Veterans Affairs Application for Residents (4 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 Residents/Fellows

• Application for Post Graduate Training License (3 pages)
• Dept. of Veterans Affairs Application for Residents (4 pages)
• Authorizations for Release of Information
• UNM Employee Demographics Form
• Form W-4 (Employee Withholdings) (2 pages)
• 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