Change of Schedule Form
Ventura County Medical Center Family Medicine Residency

Please use this form to submit schedule change requests.

Any changes involving AFMC half days must be submitted at least 4 weeks prior to the affected rotation.

Any changes not involving AFMC half days must be submitted at least 1 week prior to the affected rotation.

Requests will be reviewed on a weekly basis.  Do not assume a request has been approved unless you receive confirmation from either the chiefs or the medical education staff.


Involved Residents

Please enter the names and email addresses of all residents involved.


Schedule Change #1


Schedule Change #2


Schedule Change #3


Schedule Change #4


Schedule Change #5


Schedule Change #6


 Explanation: