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Michigan form 2026
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- Click ‘Get Form’ to open the Michigan form in the editor.
- Begin by filling out the applicant's information. Enter your full name, date of birth, address, city, state, zip code, telephone number, and email address in the designated fields.
- Next, the Medical Director or Superintendent of the training hospital must complete their section. They should provide the name and address of the hospital or institution along with its city, state, and zip code.
- In the certification section, the Medical Director must confirm the appointment by specifying the position held by the applicant and indicating whether it is an internship or residency program. Include the start date in month/day/year format.
- Indicate if the training program is approved by AOA and ACGME by selecting 'Yes' or 'No' for each question.
- Finally, ensure that the Medical Director signs and dates the form. If applicable, include a seal from the institution; if not available, indicate that as well.
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