Functions related to patient care at TGH are required to complete an authorization 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the 'Personal Information' section. Enter your prefix, full name, address, gender, date of birth, and contact details accurately.
3. Proceed to the 'Professional Information' section. Provide your current affiliation, title, and length of time in your position. Indicate your credentials and the supervising physician's name.
4. In the 'Duties' section, check all applicable duties you expect to perform at TGH such as chart review or clinical research.
5. Complete the acknowledgment statement regarding patient care responsibilities and sign where indicated. Ensure you understand the implications of this consent.
6. Gather all required supporting documentation listed in the instructions and attach them with your application before submission.
7. Submit your completed application either directly to HR or via email as specified in the instructions.

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