Sample Letters

Due to COVID-19, our staff is currently working remotely. So as to not delay the review of your application, please do not mail or fax in any application documents at this time. To upload application documents please log-in to your MY APCA account. Please visit the APCA COVID-19 page for additional details.

New 2020 ARDMS Physician Prerequisite Sample Letters – Effective January 6, 2020.

• Program Completion Letter
• Physician in Practice Letter

CBCCT Certification Examination Sample Letters

• ​​Template for Training & Experience Verification Letter​
• Template for Maintenance of Competency Letter (150 cases Level 2/75 cases ACR)
• International Training Letter​

CBCCT Recertification Examination Sample Letters

• Recertification Maintenance of Competency Letter

CBNC Certification Examination Sample Letters

• CBNC Certification Examination Sample Lette​rs

CBNC Recertification Examination Sample Letters

• CBNC Recertification Examination Sample Letters

PVI  Examination Sample Letters

Vascular interpretation experience option #1 letters

• Accredited residency/f​​ellowship program letter
• Accredited residency/f​ellowship program with simulation cases letter

Vascular interpretation experience option #2 letters

• Post-graduate​ program letter
• Post-graduate progra​m with simulation cases letter

Vascular interpretation experience option #3 letters

• Physician in practice letter
• Physician in practice with simulation cases letter​

RMSK

• Third-Party Attestation Form

New 2020 ARDMS Physician Prerequisite Sample Letters – Effective January 6, 2020

• Program Completion Letter
• Physician in Practice Letter

Patient Log:​

• Patient Log (RMSK, RDMS, RDCS, RVT)
• Patient Log (RPVI)​

Numbers Corresponding to the Sample Letters:

Letter(s) documenting clinical experience must include the following:

1. Be an official letter with the address and telephone number indicated.
2. Include the current date.
3. Employment letters must indicate full-time or part-time training/experience AND must include the total number of paid clinical hours.
4. State actual dates of employment or program – mm/dd/yyyy.
5. Program completion letters must include the total number of hours in the program and state individually, the number of didactic and clinical hours in the program.
6. Contain original signatures (stamped and/or computer generated signatures are not acceptable).
7. Provide a physician’s medical license number or chief sonographer’s/technologist’s APCA/ARDMS certification ​
   number.​

​​Note: Letters cannot be signed by a relative of the Applicant.