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File with resident records and make available for ME Committee monitoring. Documentation of Moonlighting Resident s Attestations (to be completed by Resident) Name: Program: Date: My responsibilities
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How to fill out methodist hospital moonlighting form

How to fill out the Methodist Hospital moonlighting form:
01
Obtain the form: The Methodist Hospital moonlighting form can usually be obtained from the hospital's human resources department or downloaded from their website.
02
Read the instructions: Before filling out the form, carefully read through the instructions provided. This will ensure that you understand what information is required and how to properly complete the form.
03
Provide personal information: Begin by filling out your personal information including your name, contact details, and any relevant identification numbers such as your employee or medical license number.
04
State moonlighting details: Indicate the specific details of your moonlighting arrangement such as the dates and times you plan to work, the department or unit you will be covering, and any supervising physicians you will be working with.
05
Seek approval: If required, obtain the necessary approvals from your supervisor or department head before submitting the form. This may involve signature or email confirmation.
06
Submit the form: Once you have completed all sections of the form and obtained any necessary approvals, submit the form to the designated department or individual specified in the instructions.
07
Keep a copy: It is always a good idea to make a copy of the completed form for your own records. This can be helpful in case there are any discrepancies or future reference.
Who needs the Methodist Hospital moonlighting form?
The Methodist Hospital moonlighting form is typically required by employees or medical professionals who wish to engage in additional work or shifts at the hospital beyond their regular employment or contract. This form helps the hospital keep track of the moonlighting schedule and ensure that all necessary permissions and approvals are obtained before the extra work takes place.
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What is methodist hospital moonlighting form?
The Methodist Hospital Moonlighting form is a document that needs to be filled out by healthcare professionals who wish to work additional shifts or provide extra coverage at Methodist Hospital outside of their regular schedule.
Who is required to file methodist hospital moonlighting form?
Healthcare professionals, such as doctors, nurses, and technicians, who want to take up additional shifts or provide extra coverage at Methodist Hospital are required to file the Methodist Hospital Moonlighting form.
How to fill out methodist hospital moonlighting form?
To fill out the Methodist Hospital Moonlighting form, healthcare professionals need to provide their personal information, employment details, proposed moonlighting schedule, and obtain the necessary approvals from their supervisor or department head. The form can usually be obtained from the hospital's administration or human resources department.
What is the purpose of methodist hospital moonlighting form?
The purpose of the Methodist Hospital Moonlighting form is to regulate and track additional work or coverage provided by healthcare professionals at Methodist Hospital. It ensures proper scheduling, staffing, and compliance with hospital policies and guidelines.
What information must be reported on methodist hospital moonlighting form?
On the Methodist Hospital Moonlighting form, healthcare professionals must report their personal details, current employment information, requested moonlighting shifts, and any relevant certifications or qualifications. They may also need to disclose their availability, contact information, and the departments or areas of the hospital they wish to work in.
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