Breadcrumb Home Departments Surgery General Surgery Residency Current Residents Departmental Forms General Surgery Residency Departmental Forms Sub-navigation Sub-navigation Current Residents Academic Calendar Rotation & Call Schedule Call Schedules Rotation Schedules Education Resources Departmental Forms Policies and Procedures Case Volume & Transitions Duty Hours & Record Keeping Education Benefits and Participation Gifts, Dress & Travel Licensure & DEA Morbidity & Mortality Conference Resident Wellness Supervision & Communication Supervision by Service Useful Links UCLA Department of Surgery M&M Reporting Please download and fill-in the Morbidity & Mortality Case Submission Forms as needed. M & M Forms: CADO Form Morbidity and Mortality Event Form Morbidity and Mortailty Event Forrm (Liver) M&M Presentation Template (ppt) M&M Stats Form Critical Event Form: Critical Event Form GME Forms: ACLS Certification CPC-Direct Enrollment Information Anthem Enrollment Computer Access Criminal Background Check Delta Dental Hep B Declination HEPVAC Letter House Staff ID Record Life Insurance Enrollment Live Scan MMRVAC Letter MS Supplemental Application Occupational Health Vaccination Instructions Photo ID Tdap Declination USMLE Policy VSP Enrollment Prehospital Care: Direct Enrollment Instructions Global Surgery Rotation Application: Global Surgery Rotation Application CHLA Forms: CHLA Application 2021-22 CHLA Health Screening Requirements Harbor Forms: Harbor-UCLA Application 2021-22 E2 Form Revised September 2021 Olive View Forms: Olive View-UCLA Application 2021-22 E2 Form Revised September 2021 USC Burns Rotation Forms: USC Application 2021-22 VA Forms: VA Application 2021-22 California Hospital Forms: CA Hospital Application 2021-22 CA Hospital Rotation Guide