DEPARTMENT OF VETERANS AFFAIRS



2451735802640DEPARTMENT OF VETERANS AFFAIRSTENNESSEE VALLEY HEALTHCARE SYSTEM 1310 24th Avenue South 3400 Lebanon Road Nashville, TN 37212 Murfreesboro, TN 3712900DEPARTMENT OF VETERANS AFFAIRSTENNESSEE VALLEY HEALTHCARE SYSTEM 1310 24th Avenue South 3400 Lebanon Road Nashville, TN 37212 Murfreesboro, TN 37129VA APPOINTMENT LETTER 2021-2022July 1, 2021Vanderbilt University Medical Center Resident of Fellow’s Name (print):______________________________________________________________________Last First MiddleSpecialty: ______________________________________________________Welcome to the Department of Veterans Affairs Tennessee Valley Healthcare System (TVHS) – also known as the VA. You are appointed on an intermittent basis at our facility as a resident or fellow beginning July 1, 2021 under the authority of Title 38 United States Code 7406. During your period of employment with our facility, you will be paid indirectly by the VA using a disbursement agreement with VANDERBILT UNIVERSITY MEDICAL CENTER and will be authorized to perform services directed by your department.Acceptance of this letter as signified by your signature will serve as your appointment authorization for this period. Return this form will all other required documents to: Dr. Sam R. Sells, VA Tennessee Valley Healthcare System, 1310 24th Avenue South, Nashville, Tennessee 37212. Please feel free to contact my office at 615-873-7769 if you have any questions.Sincerely,Sam R. Sells, MD, MPH, MEdSam R. Sells, MD, MPH, MEdTVHS Associate Chief of Staff for EducationI agree to serve in the above capacity under the conditions indicated. The required documents are complete and returned with my acceptance._____________________________________ ______________________Resident’s Signature DateAre you a citizen of the United States of America? _____YES _____ ................
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