Medical Education Employment Forms
Congratulations! We are looking forward to your arrival at Geisinger and to working with you. The hiring process has become complex for hospitals with federal, state, and system requirements. It is important that you complete each request in the required time frame in order to begin your residency/fellowship at Geisinger. Please note that in order to get your first paycheck on schedule all aspects of the hiring process must be complete. Complete the following and return by April 30, 2010. All instructions can be found at the Forms to Complete link. - Pennsylvania Child Abuse History Clearance (PA Act 33)
- Clearance results will be returned via mail to the home address listed on the form within 14 days from the date that the clearance is received by the state office
- The original clearance reply must be turned in on or before the first day of orientation.
- Authorization form for Consumer Reports
- Must mail original signed copy, cannot accept fax copies
- Health Services
- Must call Health Services within four days of receiving this email notification at 1-570-214-9424 or toll free 1-800-245-6401, say Health Services
- Complete and return the following forms as soon as possible:
- Health Services Department Medical History Questionnaire
- Hepatitis B Vaccine Information and Declination
- Medical Evaluation Questionnaire for N-95 Respirator
These forms may be placed in separate envelope should you have concerns about others possibly viewing this information and returned with the above. Please make sure envelope is labeled Health Services with your name.
- FBI Fingerprint Criminal Background Clearance (PA Act 73)
- Current BLS Certification
- Copy of both sides of current certification
- If you do not have a current certification you will be enrolled in BLS course during Orientation.
Please send all forms to:
Megan Joyce
Office of Medical Education 13-34
Geisinger Medical Center
100 North Academy Ave.
Danville, PA 17822
cjoyce1@geisinger.edu
570-271-6114 option 1
Toll free: 1-800-275-6401, say Office of Medical Education
Did you know that you may be entitled to up to $500 reimbursement for moving expenses? You must have moved more than 30 miles to be eligible for the reimbursement, which is a taxable reimbursement. Please see below on the process to submit for reimbursement. Moving Expenses Paperwork - Original receipts are required. They should be taped to an 8 ½ “x 11” piece of white paper. Please put the receipts in an envelope with your name on it and turn in to the Office of Medical Education.
- Submissions will be accepted up to 30 days after your start date.
As always, please call the Office of Medical Education with any questions at 1-570-271-6114, Option 1. Contact your department for questions relating specifically to your residency or fellowship training: Employment Forms
Employment Forms must be complete and submitted before beginning employment at Geisinger. Please complete each section accurately and correctly and return or submit within two weeks: 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. | 
