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Employment Information
Forms to Complete
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Orientation

Forms to Complete
The following hiring procedures require action by you. Please read and follow instructions carefully. 

If you have question, please contact:

Megan Joyce, hiring requirements and orientation
Phone: 1-570-271-6114, Option 1
Toll free: 1-800-275-6401, say Office of Medical Education
Email: meded@geisinger.edu

• ECFMG Certificate copy (foreign medical graduates)
• BLS card
• Pennsylvania Child Abuse
• Register for Fingerprinting
• Employee Health Services
• Virginia Residents Page

Employment Forms to Print and Mail
The hiring requirements in this section include paperwork which will need to be printed by you and returned via surface mail or email to:

Office of Medical Education
Geisinger Medical Center
100 North Academy Avenue
Danville, PA  17822 -1334
Email:  meded@geisinger.edu

Please assure that this paperwork has been signed with your signature in ink in the space indicated. The following paperwork must be returned within two weeks:

The following forms may be placed in a separate envelope should you have concerns about others possibly viewing this information and returned with the above:

• Authorization Form for Consumer Reports .pdf (Please print clearly in order for your form to be processed)
• Worker's Compensation Employee Notification .pdf 
• Addition to Employment Application .pdf  (Do not include a Lawson number as you have not been assigned one at this point)
• Request for Verification of Medical School Graduation .pdf 
• Request for Verification of Internship/Residency/Fellowship .pdf

Employment Forms for Online Submission
The hiring requirements in this section include paperwork to be completed online. Please complete and submit the forms linked below:

• Affirmative Action Statistical Form
• Self-Identification Form for Geisinger Health System Employees
• Office of Medical Education Language Form
• Office of Medical Education Questionnaire

All forms and data are protected through 128-bit standard secure socket layers (SSL) security protocol for online data transmission. Click for more information about Geisinger's internet security protocols.