Welcome to UConn Nation!
We are excited to have you join our team of outstanding residents, fellows, faculty and staff. The new academic year will be here much sooner than you realize, and there is much to be done before you arrive at UConn.
Please be sure to complete all the required forms below. If you have questions, feel free to reach out to us in the GME office. You can reach us by phone at 860-679-2147, fax 860-679-4624, or email gmeoffice@uchc.edu.
We look forward to seeing you all at orientation.
Orientation for new interns/residents: June 13, 14, 2019
Orientation for new fellows: July 1, 2019
Contract Packet
Upload these forms to your MyEvaluations.com account:
NPI Information (Once you obtain your NPI Number, please send to Melissa Demetro, demetro@uchc.edu.)
Institutional Requirements (Complete all incoming courses in Healthstream by April 30.)
Pre-Employment Documents (Bring these forms with you to your doctors appointment. They do not go to the GME office.)
International Information Collection Form (Applicable to J-1 trainees only.)
CAHC Welcome Packet
Employee Medical/Dental Election/Refusal Form
COBRA Election Notice (If you are married, your spouse must sign this form.)
Anthem Medical and Dental Insurance
Direct Deposit Authorization Form
GME Welcome Packet
UConn Health Parking Form (Turn in at orientation.)
House Staff Profile Sheet (Turn in at orientation.)
General Information
Life Insurance Change of Beneficiary Form