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.
Your request has been submitted to the chief residents for review.
Your request should not be considered approved until you have received confirmation from the chiefs.
Important: A copy of the request has been emailed to you. If you do not receive the copy, your request may not have submitted properly. In this case, please try again, or email the chiefs directly to confirm recepit.