FORMS

After filling out the form, please save it to your computer and send it as an attachment to This e-mail address is being protected from spambots, you need JavaScript enabled to view it .

Application for Admission

Case DocumentationTransmittal Form

Application for Recertification

Recertification Case Study

Certification and Recertification Case Evaluation Form

Other Documents

Limitations on Case Submissions

Reconstructive Rearfoot and Ankle Surgery Case Delineation

Reconstructive Rearfoot / Ankle Certification Requirements

Precertification Requirements

Confidentiality Policy

ADA Policy

Petition for Waiver

Code of Federal Regulations

Example Multiple Choice Questions

Certificate Exemplar

Examination Topics