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  • ABWMS Application for Certification in Wound Medicine and Surgery

  • Application Directions

  • 1. Read the ABWMS Handbook for Candidates before completing this application: the Handbook lists all documentation that will be needed to complete your application and information regarding fees and refund policies.

    2. Complete application and upload supporting information including primary board certificate or board eligibility documentation.

    3. If you are requesting test accommodations, refer to information here and have the Test Accommodations Form completed by your healthcare provider prior to proceeding

    4. Pay the required fee

    5. Please complete the application in its entirety before submitting. If you need to leave the application and come back for any reason, you may choose to save your progress by clicking the Save button at the bottom of the application. A link to return to the application will be sent to your email. 

    6. You will receive a copy of the completed application to your email.

  • Candidate Name

    Enter your name EXACTLY as it appears on your government-issued photo identification.
  • Degree Designation*
  • Format: (000) 000-0000.

  • Home Address

  • Work / Business Address

  • Request for Test Accommodations

  • Are you requesting test accommodations and have a disability covered under the Americans with Disabilities Act?*
  • If yes, fill out the Testing Acccommodations Form here in addition to this application.

  • Examination and Certification Information

  • Have you taken this examination before?**
  • Are you currently or have you ever been certified in Wound Medicine and Surgery by ABWMS?**
  • Medical License Information

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  • Eligibility and Background Information

  • Current primary board certifications: (Check all that apply)*
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  • How did you first come to learn about ABWMS?*
  • Other Information

  • Note: Information related to race, age, and gender is optional and is requested only to assist in complying with general guidelines pertaining to equal opportunity. Such data will be used only in statistical summaries and in no way will affect your test results.

  • Race/Ethnicity:
  • Age Range:
  • Gender:
  • Candidate Statement and Signature

    • I verify the information I entered is accurate and complete.
    • I confirm that I have read the ABWMS Handbook for Candidates and understand that I am responsible for knowing all information and policies noted within.
    • I acknowledge that once my application is submitted, I will not be able to modify any information on my application.
    • I understand that my eligibility for this examination may be verified through the certifying organization.
    • I understand that my application will be considered pending until American Board of Wound Medicine and Surgery (ABWMS) has received payment of the application fee.
    • I understand that the demographic information I provided will only be used for statistical purposes in aggregate form.
    • I confirm that the examination, fees, and testing window listed on this page are correct.
  • Payment and Submission of Application

  • You will also receive a copy of the completed application to your email.

    Testing Window: click here to view the upcoming testing windows

    Application Certification Fee: $850.00

  • For which testing period are you applying?*
  • Application Fee*

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      Certification Exam Fee
      $850.00$850.00
        
      Total
      $0.00$0.00

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