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Graduate Medical Education

One of the nation's top hospitals for safety and quality

Graduate Medical Education

Affiliation Agreements

Flowchart for New and Renewing Affiliations

Guide for Selecting the Correct Affiliation Template

Request for Affiliation

EXAMPLE of Completed Form

Standard Affiliation Agreements

Non-Standard Affiliation Agreements

Johns Hopkins University/Hospital

Johns Hopkins University/Johns Hopkins Hospital
(Use for UMMC's residents/fellows rotating AT Hopkins)

MedStar Affiliation Agreements

MedStar Affiliation Agreement Template with reimbursement
MedStar Affiliation Agreement Template without reimbursement
Rotating Resident/ Fellow Registration Process

Mercy Affiliation Agreements

State Institution Affiliation Agreements

VA Affiliation Agreements (use same agreement with or without reimbursement)

VA Affiliation Agreement

Private Office Agreement Template without reimbursement

Children's Hospital Agreement Template without reimbursement

Integrated Addendum

Rotator Agreements

Rotator Agreement Standard (other institution provides malpractice)
Rotator Agreement Non-Standard (UMMC provides malpractice)
Rotator Agreement MedStar
Rotator Agreement Military
Rotator Rider JHH/JHU (Use for Hopkins's residents/fellows rotating AT UMMC)
STAPA Rotator Standard (other institution provides malpractice)
STAPA Rotator Non-Standard (UMMC provides malpractice)

This page was last updated on: October 26, 2009.

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© 2009 University of Maryland Medical Center (UMMC). All rights reserved. UMMC is a member of the University of Maryland Medical System, 22 S. Greene Street, Baltimore, MD 21201. 1.800.492.5538 TDD: 1.800.735.2258
Physician Referral: 1.800.373.4111