Get Acoi Advanced Placement Application Form

Filling out the Acoi Advanced Placement Application Form online is a crucial step for residents seeking advanced placement in their training. This guide provides clear instructions to assist you in completing the form accurately and efficiently.

Follow the steps to complete the Acoi Advanced Placement Application Form online.

1. Click the ‘Get Form’ button to access the application form and open it in the editor.
2. Complete personal information sections, including your name, training program, and the program director's name. Ensure that all details are accurate and reflect your current status.
3. Indicate the date of your request and select all applicable training types for which you are seeking credit. Be sure to check all relevant boxes.
4. Provide details regarding the institutions where your previous training was completed. List the names of these institutions as required.
5. If applying for credit for internship or non-internal medicine residency training, list all relevant rotations completed along with their corresponding dates.
6. Answer questions regarding the ambulatory continuity experience and indicate if it was supervised by an internist. Provide frequency and duration of the experience.
7. For ACGME Internal Medicine training, indicate the number of months completed and ensure you are ready to submit proof of training completion.
8. Sign the document electronically, ensuring both you and the program director provide your signatures to validate the application.
9. Once you have filled out all the sections, review the application for accuracy, save your changes, and prepare to download, print, or share the form as needed.

Complete your Acoi Advanced Placement Application Form online today to ensure timely processing of your request.