Home
Forms Library
Proposed CC Exam Application-ABA doc

Proposed CC Exam Application-ABA doc 2025

Proposed CC Exam Application-ABA doc Preview on Page 1

See details

4 out of 5

38 votes

This document is an application form for certification in Obstetrics and Gynecology with an added qualification in Critical Care Medicine, issued by the American Board of Obstetrics and Gynecology (ABOG). It outlines the requirements for submission, including a certification fee, candidate information, fellowship details, licensure status, and questions regarding any medical license restrictions or criminal history. The application must be submitted at least 90 days prior to the examination date.

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out Proposed CC Exam Application-ABA doc with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the Proposed CC Exam Application-ABA document in the editor.
Begin by filling out your Candidate Information. Enter your full name and ABOG ID in the designated fields.
Next, provide details about your ACGME-accredited Critical Care Fellowship. Include the program name, program number, and your status (Current Fellow or Graduate) along with start and end dates.
If applicable, complete the section for ABOG-accredited subspecialty fellowship by entering the program name and number.
In the Licensure section, indicate whether you have an active medical license in any U.S. state by selecting YES or NO. If YES, list the states where you are licensed.
Answer the questions regarding any restrictions on your medical license or hospital privileges. If applicable, provide explanations in a separate document and attach it.
Finally, sign and date the application at the bottom of the form to confirm all information is accurate before submission.

Start using our platform today to easily fill out your Proposed CC Exam Application-ABA for free!

See more Proposed CC Exam Application-ABA doc versions

We've got more versions of the Proposed CC Exam Application-ABA doc form. Select the right Proposed CC Exam Application-ABA doc version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2019	4.9 Satisfied (39 Votes)
2019	4.8 Satisfied (193 Votes)
2014	4 Satisfied (38 Votes)
2008	4.6 Satisfied (65 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the ABPN exam pass rate?

Exam-based Evaluation 2024 Specialty Psychiatry 98% Specialty Neurology 92% Specialty Child Neurology 100% Subspecialty Addiction Psychiatry 100% Exam TypeCertification% Passed9 more rows

What is the aba applied exam?

The APPLIED Exam includes the traditional Standardized Oral Examination (SOE) and the Objective Structured Clinical Examination (OSCE) component. Physicians take this exam after passing the ADVANCED Exam. Please review our FAQs for more information regarding the APPLIED Exam.

What are ABPN recertification requirements?

Pass a CC exam for every certification every 10 years or successfully participate in the ABCC pathway every 3-year block. Diplomates complete one set of requirements (CME, SA, PIP) each 3-year block, regardless of number of certifications held.

What do you need to pass the CC exam?

The exam consists of 100 multiple-choice questions and has a two-hour time limit. To pass, candidates need a scaled score of 700 out of 1,000.