VASCULAR INTERVENTIONAL IMAGING (ANGIOGRAPHY) 2026

1. Click ‘Get Form’ to open the VASCULAR INTERVENTIONAL IMAGING (ANGIOGRAPHY) application in the editor.
2. Begin by entering your contact details, including your membership number, surname, maiden name, given names, title, date of birth, and residential address. Ensure all information is accurate for processing.
3. In Part A, indicate the year and month when you took the Vascular Level 1 examination. This section is crucial for verifying your theoretical knowledge.
4. For Part B, provide a statement of clinical experience. Fill in your name and certify that you have performed over 150 vascular angiography examinations within the specified 12-month period. Include the start and end dates.
5. Obtain your supervisor's verification by having them complete their section. They must sign and provide their position and site details to confirm your clinical experience.
6. Complete the payment authority section by selecting your payment type and providing credit card details if applicable. Ensure all costs are clearly stated.
7. Finally, submit the form via email by clicking on 'File > Send file' or directly emailing it to angio@asmirt.org.

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