REQUIRED VA DOCUMENTS

The below documents are required for students rotating in Dermatology, Radiology, Neurology and Psychiatry Clerkships.  The following forms are required of ALL medical students completing elective rotations at the VA:

* Faxed copies of completed forms are not acceptable.  Original signatures are mandatory.

 

 

Statement of Commitment and Understanding for VA Trainees

Request for Computer Access (VA)


Declaration for Federal Employment

 

Optional Application for Federal Employment- OF 612

 

 

Vehicle Registration Form

  • fill-out, sign and date the above form


Department of Veterans Affairs Acceptance Letter/ WOC Letter

 

VHA Mandatory Training for Trainees  (*1 training module)

Please view the attached PDF file for directions on how to access the combined training module.[PDF}

 

https://www.ees-learning.net/librix/loginhtml.asp?v=librix

 

The following items are additional requirements of ALL students completing rotations at the VA:

 

Fingerprinting

Fingerprinting is required of ALL students rotating at the VA.  Be prepared to locate a local VA Hospital in your area.  The Fresno VA will arrange for a “courtesy fingerprinting” to be done.   Fingerprinting must be completed before the start of a student’s scheduled rotation.  As a note, this process takes a minimum of 30 days.

In accordance with new guidelines required by VA Human Resource Management Service, students must complete the entire VA packet and return it to the Medical Student Coordinator, Brittany Riojas, at the UCSF Fresno Center. 

VA Checklist (click here)

The completed packet with ALL forms & documents should be MAILED to the following UCSF Fresno contact at least 2 weeks before the start of the scheduled rotation:

 

Brittany Riojas                                                              
UCSF Fresno Center                                                     
Undergraduate Medical Education Dept.
155 North Fresno Street, Suite 251
Fresno, Ca.  93701

Send questions or comments to: briojas@fresno.ucsf.edu

 


Additional VA contact information

 

Neurology Contact      
VACCHCS- Fresno
Neuro/Rehab Service (127)
Attn: Pat McMurry
2615 E. Clinton Avenue
Fresno, CA 93703
Patricia.McMurry@med.va.gov

Dermatology Contact
VACCHCS- Fresno
Dept. 111
2615 E. Clinton Avenue
Fresno, CA 93703