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AVDC Resident Forms

Below you will find a listing of forms that will be useful as you pursue your specialty.

General Forms

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APP 100

Application & Review Form for Registration of a Full-time or Part-time NSS/SA or EQ Residency Training Program

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APP 200

Leave of Absence Request Form

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CRED 440

Radiograph Submission Form
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CRED 500

Anesthesia, Radiology, & Surgery Training Record
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CRED 510

Anesthesia, Radiology & Surgery Submission Form
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CRED 705

Equipment List Submission Form
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CRED 810

Credentials Equipment List Form
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CRED 820

Case Report - Confirmation of Primary Clinician & Extent of Supervisor Involvement
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CRED 825

Book Chapters Submitted for Review Report from Supervisor
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CRED 830

"Solicited Article" Submitted for AVDC Review Report from Supervisor
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CRED 835

"Unsolicited Article" Submitted for AVDC Review Report from Supervisor
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CRED 840

Case Report Review Form
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CRED 845

Credentials Committee Form for Book Chapter Review
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CRED 850

Credentials Committee Form for Solicited Article Review
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CRED 855

Credentials Committee Review Form for Unsolicited Article
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CRED 860

Delayed Submission of Publication form

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EXAM 950

Exam Security Form

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EXAM 960

Disability Accommodation Request Form

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EXAM 970

Appeal Policy and Procedures

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Residency Program Requirements

Residency Program Requirements
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TSC 441

MRCL Pandemic Cadaver Procedure Form

Links

        APP-120

         Resident Application Fee Credit Card Form

Small Animal Forms

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AVDC 300SA

Residency Training Program: Site Application Form
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CRED 550SA

Small Animal Credential Radiograph Review Form
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CRED 600SA

Non-Species Specific Credentials Application Form
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CRED 601SA

SA Credentials Application Supervisor's Report

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CRED 629SA

SA Credentials Review Evaluation Form

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CRED 700SA

MRCL Procedure Cadaver Substitution Form
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TSC 414SA

Annual Report Process for Residents
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TSC 415SA

Brief Annual Report Document and Check List
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TSC 420SA

Small Animal Annual Report Review Form
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TSC 425SA

Small Animal Annual Report for Residents Submitting Credentials this Year
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TSC 430SA

Small Animal Supervisor Annual Report Form
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TSC 431SA

TSC Annual Report Reviewer Form

Equine Forms

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AVDC 320EQ

Residency Training Program: Site Application Form
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CRED 560EQ

Equine Radiographic Set Reviewer Report Form
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CRED 620EQ

Credentials Application Form
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CRED 621EQ

Equine Credentials Application Supervisor's Report
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CRED 627EQ

Equine Credentials Review Evaluation Form
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CRED 701EQ

MRCL Procedure Equine Cadaver Form
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CRED 800EQ

Equine Credentials Equipment List
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TSC 400EQ

Equine Annual Report Review Form
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TSC 405EQ

Annual Report Committee Review Form
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TSC 410EQ

Annual Report Supervisor Review Form

Dual Diploma SA/EQ Forms

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CRED 690

Combined Dual Track SA-EQ Credentials Application

English is the official language of AVDC. All documents, forms and examinations provided by AVDC are written in English, and all materials submitted by applicants and residents are to be written in English.

Use of Specialty Titles: The AVMA Principles of Veterinary Medical Ethics state: It is unethical for veterinarians to identify themselves as or in any way imply that they are members of an AVMA recognized specialty organization until such time as such certification has been awarded. AVDC has adopted the Guidelines for Use of Specialty Titles, prepared by the American Board of Veterinary Specialties of the American Veterinary Medical Association.

By signing the AVDC Training Program Registration form, an individual submitting an application for registration of a training program acknowledges that s/he may not use the terms ‘board eligible’, ‘board qualified’, ‘veterinary dental specialist’ or ‘veterinary dentist’, and may not make or imply any connection with AVDC until such time as the individual passes the AVDC examination and is awarded the AVDC Diploma.

The registration of an AVDC training program of an individual who is not in compliance with the policy stated above may be terminated by AVDC, in which case the individual will not be permitted to complete the AVDC credentials and/or the examination procedures, and, when appropriate, the circumstances may be reported by AVDC to the individual’s State Board of Veterinary Medical Examiners.