Required Documents for 2016 – 2017 Incoming Residents & Fellows

Please refer to the initial email you received from Rhonda Hughes in the GME office.

IMG-MO Temporary License Application
IMG-MO Temporary License Application – Supplemental Instructions
US-MO Temporary License Application
US-MO Temporary License Application – Supplemental Instructions
UMKC Benefits Summary
Authorization & Consent for Release of Information & Waiver & Release of Liability
Resident/Fellow Education & Training History
Emergency Contact Information
NPI – Application – IMGs
NPI – Procedures for Obtaining NPI Number Through Web

To download all of the above documents as a .zip file, please Click Here