All individuals must show a valid LSUHSC I.D. on the 3rd floor of Stanislaus Hall for entrance into the Wellness Center. In addition, initially, each individual member must complete an Express Assumption of Risk Release of Liability Form and a PAR-Q.
Express Assumption of Risk Release of Liability FormPAR Q Free Admission is granted to:
Each resident completing final rotations (prior to graduation) must have this form processed before a final certificate will be issued. Signatures indicate that your medical records are complete; you have returned lab coats; and you have returned Autovalet Cards.
Completed form should be submitted to the Medical Staff Office
MEDICAL CENTER OF LOUISIANA AT NEW ORLEANS
MEDICAL RECORD SERVICES
Certificates are awarded only when you have completed entire program –internship, residency and fellowship, if applicable. This form must be approved by your Residency Program Director.
Please complete, as you want your certificate to read.
If any year was in a different program, please provide that information. Status: (circle one) Intern Resident Fellow
School: (circle one) LSU or TULANE