GENERAL (ADULT) PROGRAM DIRECTOR IS ATTESTATION FORM FOR CHILD & ADOLESCENT PSYCHIATRY (CAP) FELLOWSHIP ELIGIBILITY Applicant This form is to verify that Dr. entered our program as a PAY on (month/day/year).
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How to fill out the General (adult) Program Directors Attestation Form online
Filling out the General (adult) Program Directors Attestation Form online is an essential step in verifying eligibility for the Child & Adolescent Psychiatry Fellowship. This guide provides clear, step-by-step instructions to help users easily navigate the form’s components.
Follow the steps to complete the form accurately and efficiently.
- Press the ‘Get Form’ button to obtain the General (adult) Program Directors Attestation Form and open it in your preferred online editor.
- Begin by filling in the applicant's name at the top of the form where indicated.
- Next, provide the name of the director and specify the PGY level and the date when the applicant entered the program.
- Indicate the number of months completed in each required rotation, ensuring to meet the minimum FTE (Full-Time Equivalent) requirements noted in the form.
- Check the appropriate box to signify if the applicant has gained experience in forensic psychiatry, community psychiatry, and emergency psychiatry.
- Confirm if the psychotherapy competencies have been met by checking 'Yes' or 'No'.
- List the dates of the clinical skills examinations passed by the applicant in the designated area.
- Provide any additional comments or relevant information in the comments section, if necessary.
- Select the appropriate option regarding outstanding requirements after transferring to CAP training, and specify the nature of those requirements if applicable.
- Complete the final section by entering the name, date, and signature of the Psychiatry Training Director.
Start filling out your form online today to ensure timely submission and eligibility verification.
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