Get Uva Authorized Medical Physicist Application 2017

Filling out the UVA Authorized Medical Physicist Application is a crucial step for individuals seeking authorization in medical physics. This guide provides a clear, step-by-step approach to complete the application online, ensuring that all users can navigate the process effectively.

Follow the steps to successfully complete your application.

1. Press the ‘Get Form’ button to access the application form and open it for editing.
2. In Part 1, provide your personal information. Include your name (last, first, middle initial) and your UVA Computing ID. Make sure all details are clearly printed.
3. Indicate your current status as an Authorized Medical Physicist (AMP) on a relevant license. If applicable, list your license number and the issuing agency. If not, ensure you complete the required training and experience Attestation Form as instructed.
4. Select the modalities for which you are requesting authorization. This is a critical section that requires accurate completion based on your training.
5. Review the application carefully and attest that all information provided is accurate and complete. Be sure to sign and date at the end of Part 1.
6. Compile all required accompanying documents as indicated and prepare to submit the completed form.
7. Return your completed application and documents via email to the Radiation Safety Officer as specified.
8. Once submitted, you may wish to save changes, download, print, or share the form for your records.

Complete your application online to ensure your eligibility as an Authorized Medical Physicist today.