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How to use or fill out reference form for physicians
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Click ‘Get Form’ to open it in the editor.
Begin by entering the applicant's name at the top of the form. This identifies who the reference is for.
In the 'Referee' section, provide your name and position, along with your hospital name and location.
Answer the questions regarding your relationship with the applicant, including if you are related or in a position of authority over them.
Detail your capacity of work with the applicant and how long you have worked together.
In the 'Candidate Information' section, evaluate various competencies such as clinical knowledge and professional judgment using the provided rating scale.
Provide comments on each evaluation area to give context to your ratings.
Complete sections on professional attitude, continuing development, strengths, areas for improvement, and any additional relevant information about the applicant.
Finally, summarize your recommendation by selecting one of the options provided and include your contact information for follow-up.
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Medical Student and Resident Letters of Reference (LOR)
Apr 8, 2019 LOR Format and Contents: Paragraph 1: Introduce your letter and waiver status. Paragraph 2: Introduce your qualifications, background, andRead more
To Applicant: The GEORGIA COMPOSITE MEDICAL BOARD requires completion of three (3) reference forms, one each from licensed physicians who have known you andRead more
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