Application Forms

The process of requesting and applying for an elective rotation is being coordinated with your Residency Program Office. Please contact your Residency Coordinator for more information.

Request forms will be made available April 20, 2022, and the deadline to submit these yourself will be May 31, 2022. Your Residency Coordinator will have the specific dates.

The Y-NHH and VA application forms are available below. Please download the PDF and complete all sections before handing it in to your Residency Coordinator.

• VA Application Form - Please complete all parts
• YNHH Application Form

Completed applications MUST be received by May 31, 2022 via network.

If you are applying for elective after June (after the initial scheduling has been completed), please email Courtney Annunziata to find out about availability and request an elective. Please do not contact the sections directly.

For overnight delivery (such as FedEx), please use the address below.

Courtney Annunziata
YAHP Coordinator
Yale School of Medicine
Department of Internal Medicine
330 Cedar St, Fitkin Building #104
New Haven, CT 06510

For delivery via US Mail, please use the address below.

Courtney Annunziata
YAHP Coordinator
Yale School of Medicine
Department of Internal Medicine
PO Box 208030
New Haven, CT 06520-8030