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- Fill out application completely. Use extra paper for additional data, if necessary. Original only, a copy is unacceptable. Incomplete applications will not be processed. The postmark affixed to the last item received to complete the application must be no later than the deadline date.
- The deadline date for applying for the certification examination will be determined by the Board of Trustees of The American Board of Legal Medicine, Inc. (See Deadlines & Fees)
- Enclose non-refundable fees of one hundred dollars ($100.00) for registration and
two hundred dollars ($200.00) for application. A check or money order for
three hundred dollars ($300.00) (United States Currency) is required to be made payable to The American Board of Legal Medicine, Inc.
- If the application is accepted, you will be notified by
the Board and issued a CANDIDATE NUMBER. Your examination fee
of two hundred dollars ($200.00) must be received by the Board no later than
30 days prior to examination as a pre-requisite to your being admitted to the examination.
- Enclose two photographs, autographed on the FRONT (3x3 inches).
- Return completed application, checks or money orders and photographs to:
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Application
The American Board of Legal Medicine, Inc.
Peter
H. Rheinstein, MD, JD, MS, FCLM,
FAAFP
621 Holly Ridge Road,
Severna Park MD 21146
E-mail:
phr@jhu.edu
Tel:
410-647-9500
Fax: 410-647-6135
Toll free numbers: 1-877-647-9500 (voice);
1-877-647-6135 (fax) DOWNLOAD APPLICATION FORM
(Microsoft Word Document 200K)
DOWNLOAD APPLICATION FORM
(PDF 41K)
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