If you have a Medical Director change, please complete the following four (4) steps.

1.    Provide a copy of the institution's Letter of Appointment and Acceptance.

       This letter must contain the following four (4) items:  

• Signed by the President/CEO

• Position Title

• The effective (start) date

• Signed by the individual accepting the position

2.    Provide a copy of the Medical Director's CV showing:

          formal education, professional licenses/board certifications, and related experience

3.    Complete this "Personnel Change" form and email it to office@jrccvt.org.

4.    Please mail all three (3) completed documents to:     

       William W Goding

       JRC-CVT

       6 Pine Knoll Dr.

       Beverly, MA  01915-1425