Va form 0888-2026

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4.9 out of 5

57 votes

The document is a worksheet for part-time physicians at the Department of Veterans Affairs (VA) to determine their service level expectations, including estimated hours dedicated to various activities such as patient care, administration, and research. It outlines the information required for compliance with the Privacy Act and emphasizes the need for approval of clinical assignments, accurate reporting of leave, and engagement in approved VA work during scheduled hours.

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Click ‘Get Form’ to open VA Form 0888 in the editor.
Begin by entering your name in the 'Name of Physician' field, followed by the date in 'Date (Month/Day/Year)'.
Fill in the 'Name of VA Facility' and specify your 'Service and Section within VA Facility'.
Estimate your effort level by indicating 'Hours per Week' and 'Hours per Year'.
In the 'Effort Distribution' section, provide a range for intermittent activities across various categories such as Clinic, Inpatient Ward Attending, and Administration.
Complete the sections for Service Assignments, including specific clinics and their corresponding days/times and frequencies.
Finally, ensure you sign the form along with the designated VA official's signature before submitting.

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Versions	Form popularity	Fillable & printable
2006	4.9 Satisfied (57 Votes)

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