---

University of North Carolina Hospitals Medicine House Staff Program

Need one of these forms? Click below.

Schedule Change Request Form

Procedure for Request of Schedule Changes

Link to attending evaluation form (resident fills out)

Link to resident evaluation form (attending fills out)

PAX, MUSE, T system application

MUSE Instructions Page

Mini-Clinical Examination Exercise (Mini-CEX)

Paper Admission Note

Paper Daily Progress Note

Wake Admission Note
Page1
Page2

Communicable Disease Reporting Form (Tube to #704)

If ?s contact Emily Sickbert-Bennett at 61636

Infectious Risk of Blood Transfusion

Patient Communications: Lab Results Letter

Lab Order Form

Pain Clinic Consult Form

Pain Med Contract

OSH Records Request Form (tube to station 124)

Policy for Medical Informatics to Obtain OSH Records

Example of a diagnosis paper CAT sheet

Example of a therapy paper CAT sheet

Likelihood Ratios vs. Predictive Vaules

---