Family Practice Residency Program Administrative Forms
To obtain the following forms as Microsoft Word documents, click on
the links below:
Resident Planned Absence Request Form
Elect-Rotation Request
Form
Change of Address
Form
Faculty Planned Absence Request Form
Physician Reimbursement Form
The forms can be filled out electronically and sent by mail to:
Carol Bartley
cbartley@wayne.med.edu
Family Practice Residency
15400 W. McNichols, 2nd Floor
Detroit, MI 48201
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