Forms
All but the first form below are in Microsoft Word format. Please
download the form, type in your answers then PRINT (and SIGN, if
necessary) and fax or mail it to our office.
Details are provided on the forms themselves.
Download this form if you wish to pay via credit card for dues,
slides, exam fees or application fees.
Download this Microsoft Word form to let us know of your change of
address.
Download this Microsoft Word document to apply for initial
certification as a diplomate.
Download this Microsoft Word document to renew your certification,
as required to maintain diplomate status.
Download this Microsoft Word document to register for the annual
certification exam.
Download this Microsoft Word document to request Emeritus status. Note, there are strict guidelines to
establish if a member is eligible. This information can be
found in the form itself.
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