UCSF MEDICAL STAFF OFFICE
ACCOUNT REQUEST FORM - DEPARTMENT COORDINATOR
Employee ID:
Last Name:
First Name:
Middle Name:
Direct Phone Number:
Email Address:
Department:
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Anesthesia
CC - UBCP
CIP - BCHO
CIP - Berkeley Outpatient Center
CIP - CA Pacific Orthopaedics
CIP - Dignity Health Medical Foundation
CIP - Envision Radiology
CIP - Golden Gate OB/GYN
CIP - Golden Gate Pediatrics
CIP - Marin General Hospital
CIP - One Medical Group
CIP - Peninsula Gastroenterology Medical Group
CIP - Precision Cancer Specialists
CIP - Presidio Dermatology
CIP - Radia Inc., PS
CIP - Regional Medical Center - San Jose
CIP - San Mateo Primary Care
CIP - SF-Otolaryngology Medical Group
CIP - Tamalpais Pediatrics
CIP - UCSF Network Ambulatory Clinics
CIP - UCSF San Mateo Primary and Specialty Care
CIP - UCSF Specialty Clinic
CIP - Zuckerberg San Francisco General Hospital
Dent/Oral & Maxillofacial
Dermatology
Emergency Medicine
Family & Community Medicine
HR
Laboratory Medicine
Medicine
Medicine - Allergy and Immunology
Medicine - Cardiology
Medicine - Endocrinology and Metabolism
Medicine - Gastroenterology
Medicine - General Internal Medicine
Medicine - Geriatrics
Medicine - Hematology
Medicine - Hematology/Oncology
Medicine - Hospice and Palliative Medicine
Medicine - Hospital Medicine
Medicine - Infectious Disease
Medicine - Medical Genetics
Medicine - Medical Oncology
Medicine - Medical Toxicology
Medicine - Nephrology
Medicine - Occupational Medicine
Medicine - One Medical Group
Medicine - Osher Ctr Integrative Med
Medicine - Pulmonary and Critical Care Medicine
Medicine - Rheumatology
Neurological Surgery
Neurology
Ob/Gyn & Reproductive Sci
Ophthalmology
Orthopedic Surgery
Otolaryngology
Pathology
Pediatrics
Pharmacy
Psychiatry
Radiation Oncology
Radiology
School of Dentistry
School of Dentistry - Orofacial Sciences
School of Dentistry - Preventive and Restorative Dental Sciences
Surgery
Urology
SUBMIT