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Application

ABSMI - Application



APPLICATION TO TAKE THE ABSMI BOARD EXAM

Exams for Counseling Intuition may be scheduled by contacting secretary@absmi.com.
The Medical Intuition Exam is next scheduled for September 10-14, 2007

I wish to apply to take the ABSMI Board Exam

I am applying for:

Medical Intuition($200)________
Counseling Intuition($200)________
Both Exams($300)________

I enclose a check for the amount listed above, or charge my Master Card or Visa:

Number: ___________________________Expiration:____________

My professional training, experience:

Name:________________________________________________
Address:________________________________________________
 ________________________________________________
Phone:________________________________________________
E-Mail:________________________________________________


Once your application has been approved, you will need to submit 6 weeks before the exam:

Twenty-five case summaries, using the model form available at www.absmi.com, plus the exam fee of $1000

and/or

Submit the exam fee for Medical Intuition, $1000 plus register to attend the exam.


Mail to:

ABSMI
5607 S. 222nd Rd.
Fair Grove, Mo.
65648

Fax, if credit card:

417-888-242-6105.

2003 © ABSMI. All rights reserved. 5607 S. 222nd Rd, Fair Grove, Mo. 65648