Background Screening Forms

These forms are required for all student rotations (medical students, residents and fellows). Please download the forms, complete the requested information and return the form with the required signature to the program coordinator for the rotation.

Authorization for Background Screening Form 1 (Word document)

Authorization for Background Screening Form 2 (Word document)

Both completed forms should be mailed to the program coordinator at

Atlanta Medical Center
303 Parkway Drive
Box 423
Atlanta, GA 30312