USA College of Medicine

Residency

USA College of Medicine
Residency Program

Judy Getty
Graduate Medical Education Specialist
Phone: 251-471-7206
Email: jgetty@usouthal.edu

Information Request Form

Information Request Form

GME Policies and Benefits

(click link above for Program Coordinator information and forms)

For Verification of Residency, please send your request to the following address:

Office of Graduate Medical Education, University of South Alabama Medical Center, 2451 Fillingim Street, Mastin Building, Room 606, Mobile, AL 36617-2293
or email Judy Getty

NOTE: If you do not receive a response from us within 3 days, please contact us at
(251) 471-7206

*Name

Required

Address

City

State

Zip Code

Phone #

*E-mail Address

Required

Medical School

Date Submitted

I am interested in:

	Residency Training in:

Family Practice
Internal Medicine
Medicine/Pediatrics
Neurology
Obstetrics & Gynecology
Orthopaedic Surgery
Pathology
Pediatrics
Psychiatry
Diagnostic Radiology
General Surgery

Other special instructions/requests:

University of South Alabama - Mobile Alabama 36688-0002 (251) 471-7206
For questions or comments Contact Us
Date last changed: November 13, 2008 12:30 PM
http://www.southalabama.edu/com/residency/inforequestform.shtml