James A. Haley Veterans’ Hospital - Tampa, Florida
Welcome to the James A. Haley Veterans’ Hospital and Clinics (JAHVH). The James A. Haley Veterans' Hospital is a tertiary care facility classified as a Clinical Referral Level 1 Facility. JAHVH is a teaching hospital, providing a full range of patient care services, with state-of-the-art technology as well as education and research.
JAHVH is affiliated with the University of South Florida (USF) – Morsani College of Medicine in North Tampa, developing a unique and close professional relationship. The hospital is connected both physically and functionally to the university. We currently provide training to over 200 USF residents and fellows.
In order to facilitate in-processing at the JAHVH, we request that you complete the required paperwork, fingerprinting, mandatory training, an online medical record training prior to your rotation.
In order to facilitate timely in-processing at JAHVH for your rotation, please complete the forms below and mandatory computer training PRIOR to your arrival at New Resident Orientation. Please review, complete, and print the following forms. Make sure to sign and date where necessary:
- Welcome Letter/Checklist(PDF)
- Human Resources Letter (PDF)
- Application for Health Professions Trainees VA Form 10-2850d (PDF)
- Declaration for Federal Employment, OF Form 306 (PDF)
- Appointment Affidavit SF 61 (PDF) — Does need to be notarized
- VA PIV Card Form (PDF)
- EPAS Registration Form (PDF)
- Fingerprint Request Form (MS Word)
- VA DEA Card for Rx (PDF)
- VA Parking Decal Form (PDF)
Before access to patients or patient information can be approved, a minimum background check must be initiated. All residents/fellows providing service, regardless of duration of residency program, must complete a Special Agreement Check (SAC), which is fingerprinting done through the Office of Personnel Management, prior to entry on duty. At any time if you provide service for 6 months or more, you will be required to complete a full background screening.
Specific details are provided below:Fingerprinting Guidelines
Please note, if you have been fingerprinted at any VA medical center within your medical student rotation and/or residency, you will not have to be re-fingerprinted, but your fingerprints will need to be verified. Please call (813) 972-2000, extension 6455 to have your fingerprints verified.
VA Personal Identification Verification (PIV) Card
The VA Personal Identity Verification (PIV) card is vital to protecting the security, identity and privacy of not only you as an individual, but of every single person at VA, VA as a whole, and the Veterans we serve. All trainees are required to have a VA PIV Card prior to the start of your rotation.
In order to process your PIV card, fingerprints must be must taken two weeks prior to getting the PIV card. Please complete the VA PIV Card form, as included above, and provide a copy of two forms of identification (ID), with one being a picture ID. The name listed on the PIV Card form must match the names on the IDs. Include the PIV card form and copy of IDs with your application packet. Please call 813-972-2000, extension 2063 to schedule an appointment with the JAHVH Police Office to take your PIV card photo. Appointments can only be scheduled once the PIV card form and copy of IDs are obtained.
VA Mandatory Training
Annually as a trainee in a Veterans Affairs (VA) facility, paid or unpaid, you are required to fulfill Federal requirements for training. The Mandatory Training for Trainees (MTT) Course was designed to meet your informational needs and allow you to function safely and effectively in your trainee role. You will not be allowed to access patients or patient information without completion of this course.
Effective April 1, 2012, the VHA Mandatory Training for Trainees and VHA Mandatory Training for Trainees Refresher Courses will no longer be available through the Employee Education System (EES) Librix site and should be accessed by all needing it through the VA Talent Management System (TMS).
Instructions on how to self-enroll in the TMS are included below:TMS INSTRUCTIONS
Computerized Patient Record System (CPRS) Training
Please complete the online CPRS Tab-by-Tab Training Course. Once completed, a certificate will be generated for you. Please include the certificate with your paperwork.
Review only if you have not received live CPRS Training at our facility.
Learner’s Perception Survey
Upon completion of your rotation at JAHVH, please visit the OAA Survey and complete the VA Learner’s Perception Survey. Completing this survey is voluntary; however, this information will be used to assess learners’ perceptions and level of satisfaction with their learning environment.