Get Breast (br) Clinical Verification (cv) Form - Ardms - Ardms

Filling out the Breast (BR) Clinical Verification Form is an essential step for candidates seeking to qualify for the ARDMS Breast Specialty examination. This guide provides a clear and supportive overview to help users complete the form accurately and effectively.

Follow the steps to complete the Breast (BR) Clinical Verification Form.

1. Press the ‘Get Form’ button to obtain the Breast (BR) Clinical Verification Form and open it in the designated editor.
2. Begin by entering the applicant’s name and ARDMS number in the respective fields. Ensure that these details are accurate and clearly legible.
3. In the Clinical Verification section, the sponsoring sonographer or reporting physician must initial each listed skill to certify the applicant’s competencies. Collect original initials for each numbered item.
4. The sponsoring sonographer or reporting physician must complete their verification statement by signing and printing their name, along with their credentials or medical license number.
5. Fill in the today’s date, ensuring it is entered in the correct format (MM/DD/YYYY). Collect contact details including the phone number and email address.
6. Review the completed form to ensure that all fields are filled out accurately. Original signatures are required; do not use facsimiles.
7. Once completed, return the form within 21 days of applying for the Breast (BR) Specialty examination to the provided address.

Complete your Breast (BR) Clinical Verification Form online today and take the next step in your professional journey.