Get the free cardiology moonlighting virginia form - pauleyheartfellows vcu

VCU Health System Division of Cardiology Moonlighting Policy The moonlighting policy for fellows in the Cardiology Fellowship Program of the Virginia Commonwealth University Health System VCUHS follows requirements established by the Accreditation Council of Graduate Medical Education ACGME. This request must contain the following items place statement of duties and estimated number of hours per week for each moonlighting activity. In applying fo...

How to fill out cardiology moonlighting virginia form

How to fill out cardiology moonlighting Virginia form:

1. Obtain the cardiology moonlighting Virginia form from the relevant authorities or download it from their official website.
2. Carefully read through the instructions provided on the form to understand the required information and documentation.
3. Begin by filling out the personal information section, including your full name, contact details, and any other requested information.
4. Provide your professional qualifications and certifications in the designated section, ensuring that all the necessary documentation is attached or referenced as required.
5. Fill in your work experience related to cardiology moonlighting in Virginia, including details such as the duration of the moonlighting, the facility or organization where you worked, and your specific roles and responsibilities.
6. If applicable, disclose any previous disciplinary actions or legal issues related to your cardiology practice in the appropriate section.
7. Review the completed form to ensure all the required information is provided accurately and legibly.
8. Sign and date the form in the designated area to certify the accuracy of the information provided.
9. Make copies of the completed form for your records and submit the original form to the relevant authority as instructed.

Who needs cardiology moonlighting Virginia form:

1. Individuals who are cardiologists or healthcare professionals specializing in cardiology.
2. Those who wish to engage in moonlighting, which refers to taking on additional part-time or temporary work outside of their primary employment in the field of cardiology.
3. Healthcare professionals who plan to practice cardiology moonlighting in the state of Virginia specifically.

For pdfFiller’s FAQs

What is cardiology moonlighting virginia form?

The cardiology moonlighting Virginia form is a document that must be filled out by cardiology moonlighters in the state of Virginia. This form is used to report moonlighting activities, which refer to the provision of medical services outside of a physician's primary employment.

Who is required to file cardiology moonlighting virginia form?

Cardiology moonlighters in the state of Virginia are required to file the cardiology moonlighting Virginia form. Moonlighters are physicians who provide medical services outside of their primary employment.

How to fill out cardiology moonlighting virginia form?

To fill out the cardiology moonlighting Virginia form, you will need to provide information such as your name, contact details, medical license number, details of the moonlighting activities, and any income earned from such activities. The form should be completed accurately and submitted according to the instructions provided.

What is the purpose of cardiology moonlighting virginia form?

The purpose of the cardiology moonlighting Virginia form is to track and monitor the moonlighting activities of cardiology physicians in the state. It helps ensure compliance with relevant regulations and allows for the collection of data on moonlighting activities.

What information must be reported on cardiology moonlighting virginia form?

The cardiology moonlighting Virginia form requires the reporting of information such as the physician's name, contact details, medical license number, details of the moonlighting activities (including dates, duration, and location), and any income earned from the moonlighting activities.

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