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Academic Resources HOME About Us About Pittsburgh Faculty Residents Staff Residency Hospitals Residency Research Academic Program Conferences Prehospital Care Other Resources Applying To Our Program Interview Information Directions Medical Student Electives Alumni Department of Emergency Medicine Links PittEM.org Resident Forms International Fellowship 230 McKee Place, Suite 500 Pittsburgh, PA 15213 Phone: 412-647-8283 Fax: 412-647-8225	Resident Forms   Emergency Medicine Resident Forms Back to top     The following forms are available for downloading:   Documents Patient Follow-Up STAT Flight Orientation Checklist Prehospital Orientation Checklist Moonlighting Approval Mercy QA Documentation Resident Memo Mercy Documentation QA Form STAT Reimbursement Procedure Log Vehicle Checkout Sheet   Links Shift Schedules Lecture Topics Resident Resource Website

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