BASIC COMPETENCY IN CLINICAL LIPIDOLOGY Exam Application
INSTRUCTIONS FOR COMPLETING THE APPLICATION FORM
It is very important that your application fields be completed carefully and accurately. The information you provide on these fields and any accompanying documents required will be used by the ACCL to determine your eligibility to sit for the examination. If accepted, your acknowledgement/confirmation letter and your examination results will be sent to the mailing address indicated on the form.
Fill in all information requested.
Candidates are not required to provide Social Security numbers other than on a voluntary basis. The numbers are useful as a secondary check in matching registration information to scores to ensure that they are reported correctly.
Please remember that you will be required to attach or fax copies of certificates of attendance for the CME/CE activities that you submit for points and the titles of the activities must be clearly identified. If the title of the session is not clearly related to lipids, we also encourage you to submit a copy of the program or educational outline to assist with credentialing review. The Credentialing Committee will make the final determination on point assignments.