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How to use or fill out GENERAL (ADULT) PROGRAM DIRECTOR'S ATTESTATION FORM
- Click ‘Get Form’ to open it in the editor.
- Begin by entering the applicant's name in the designated field at the top of the form.
- Fill in the details regarding the applicant's entry into the program, including their PGY level and date of entry.
- Complete each section regarding rotations by entering the number of months completed for primary care, neurology, adult inpatient psychiatry, and other specified areas.
- Indicate any relevant experiences by checking the appropriate boxes for forensic, community, or emergency psychiatry.
- Confirm whether psychotherapy competencies have been met and list dates for clinical skills examinations in the provided fields.
- Provide any additional comments or notes as necessary in the comments section.
- On the signature page, ensure that both the Psychiatry Training Director’s name and signature are included along with the date.
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See more GENERAL (ADULT) PROGRAM DIRECTOR'S ATTESTATION FORM versions
| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2014 | 4.8 Satisfied (60 Votes) |
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