Review the list below and make sure you have completed or taken the appropriate steps to complete all the requirements listed. If not, please complete prior to orientation.

In order to complete each form, locate and select the Submit/Finish button. The department number is 795. Print Confirm Sheet and send with your package.

• Sign and return Residency Training Agreement (Contract).
  Deadline: April 23
• Complete and return Residency Training License Application, including fingerprint cards.     
  Deadline: May 1
• Complete NCBH Background Check Form.
  Deadline: May 1
• Submit House Staff Information Sheet.
  Deadline: May 1
• Submit copies of ACLS/BCLS Certification or register for appropriate class.
  Deadline: May 1
• Submit Demographic Form to Employee Health Services and make appointment for initial screening. Print immunization Form to compile records to provide to Employee Health
  Deadline: May 1
• Review Medical Legal Survival: A Risk Management Guide for Physicians.
  Deadline: June 1
• Complete Electronic Record Training prior to class.
• Complete and submit Annual Compliance and HIPAA Training. Click Finish to complete the process and then Submit. The department number is 795. Print the confirmation sheet and return with package. It is not necessary to print the test.
  Deadline: June 1.
• Complete and submit NCBH Bloodborne Pathogen Education/Infection Control Annual Training.
  Deadline: June 1
• Review, sign and submit Confidentiality Agreement.
  Deadline: June 1
• Review Values in Action.
  Deadline: June 1
• Review Medical Records, then print, sign and return page 4.
  Deadline: June 1
• Complete and return Employment Eligibility Verification (Form I-9).
  Deadline: June 1
• Complete and return Payroll Direct Deposit Form.
  Deadline: June 1
• Complete Federal and NC State Withholding Tax prior to beginning training.
  Foreign Medical Graduates – ECFMG Sponsorship.
  Deadline to begin process: April 2

Upon Completion of the checklist please submit validation to the House Staff Office that you have completed all the requirements.

We look forward to your arrival. Please contact the House Staff Office with any questions or concerns.