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Get Ucsf Short-term Elective Rotation New California Licensed 2018-2024

Ly and attach to the complete appointment packet for submission to the GME Office at least one month prior to rotation start date. Please place all paperwork in the order listed on this form. Do not include any paperwork in this packet that is not listed below. Please submit all documents as single-sided documents with original signatures. Student Name UCSF Department Program/Rotations UCSF Program Coordinator Date Packet to GME UCSF Coordinator Email UCSF Coordinator Phone Training Superv.

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