VA APPOINTMENT LETTER 2017-2018 July 1, 2017 Vanderbilt Resident’s Name (print): ______________________________________________________________________ Last Middle Specialty: ______________________________________________________ Welcome to the Department of Veterans Affairs Tennessee Valley Healthcare System (TVHS) also as the VA. You are appointed on an intermittent basis at our facility – as a resident or fellow beginning July 1, 2017 under the authority of Title 38 United States Code 7406. During your period of employment with our facility, you will be paid indirectly by the VA using a disbursement agreement with VANDERBILT UNIVERSITY SCHOOL OF MEDICINE and will be authorized to perform services directed by your department. Acceptance of this letter as signified by your signature will serve as your appointment authorization for this period. The attached documents must be returned by Friday, April 28, 2017 to: Dr. Sam R. Sells, VA Tennessee Valley Healthcare System, 1310 24th Avenue South, Nashville, Tennessee 37212. Please feel free to contact my office at 615-873-7769 if you have any questions. Sincerely, Sam R. Sells, MD, MPH TVHS Associate Chief of Staff for Education I agree to serve in the above capacity under the conditions indicated. The required documents are complete and returned with my acceptance. _____________________________________ ______________________ Resident’s Signature Date Are you a citizen of the United States of America? _____YES _____NO
VA APPOINTMENT LETTER 2017-2018 July 1, 2017 Vanderbilt Resident’s Name (print): ______________________________________________________________________ Last Middle Specialty: ______________________________________________________ Welcome to the Department of Veterans Affairs Tennessee Valley Healthcare System (TVHS) – also as the VA. You are appointed on an intermittent basis at our facility as a resident or fellow beginning July 1, 2017 under the authority of Title 38 United States Code 7406. During your period of employment with our facility, you will be paid indirectly by the VA using a disbursement agreement with VANDERBILT UNIVERSITY SCHOOL OF MEDICINE and will be authorized to perform services directed by your department. Acceptance of this letter as signified by your signature will serve as your appointment authorization for this period. The attached documents must be returned by Friday, April 28, 2017 to: Dr. Sam R. Sells, VA Tennessee Valley Healthcare System, 1310 24th Avenue South, Nashville, Tennessee 37212. Please feel free to contact my office at 615-873-7769 if you have any questions. Sincerely, Sam R. Sells, MD, MPH TVHS Associate Chief of Staff for Education I agree to serve in the above capacity under the conditions indicated. The required documents are complete and returned with my acceptance. _____________________________________ ______________________ Resident’s Signature Date Are you a citizen of the United States of America? _____YES _____NO
VA_Appointment_Letter_Vanderbilt%202017.docx