American Registry of Medical Assistants
home about notes requirements who may qualify
 
registration vs certification prequalification reinstatement Continuing Ed
 
 
Home
 
FAQs
forum
Member Articles
Members Only
contact
merchandise
shopping cart
sitemap
member login

PRE-QUALIFICATION FORM

If you have been a member of ARMA in the past, please contact ARMA for further instructions.



Please be aware that your form may take up to 6 to 8 weeks. If you are not pre-qualified you will receive an email, ensure you are checking both you Inbox and Junk Email.



Any questions concerning the Pre-Qualification process may be directed to Michelle Lesieur who only responds to email correspondence. Phone calls are not forwarded.



Application Process:

  1. Complete the Pre-Qualification Process

  2. Receive official application and confirmation notice vie USPS from ARMA

  3. Mail back application, as described after the Pre-Qualification Form, for final review

  4. Receive your offical acceptance package via USPS

To begin the above explained application process to become a Registered Medical Assistant(R.M.A.) with ARMA please complete the following Pre-Qualification form.


If a section does not pertain to you (IE: You are not currently, nor have ever been, in the US Military) leave the section blank and continue to the next.



Have you ever been a member of ARMA?Yes No
First Name
Middle Name
Last Name
Address
Street Type:
Apt/Building/Floor/Number:
City
State
Zip
+ 4 of Zip
Phone
Date of Birth
Email Personal:
Alternate:
Last Four Digits of SS#


Education High School

Did you graduate from an accredited High School? Yes No N/A
School Name:
Location:
Year of Graduation:
If No, did you obtain your GED?Yes No N/A
Facility Name:
Location
Year you obtained your GED:


Disclosure

Have you ever been convicted of a felony or misdemeanor? Yes No N/A

Juvenile misdeameanor charges or convctions processed through the juvenile court system are not required to be reported to ARMA. Traffic charges, without a related drug / alcohol charge, are not required to be reported to ARMA.

A conviction of; a plea of guilty to; or a plea of nolo contendere to an offense constitutes a conviction for ARMA purposes.
Brief Synopsis:
If you are eligible to apply, convictions, which have been formally cleared as evidenced by a letter or statement from an official source to that effect, must be submitted with your application. (Once becoming a member of ARMA, convictions previously reported to ARMA may be entered as NO for future forms).


MILITARY CORPSMEN/MEDICS: If you are in (or have been recently discharged from) the USA military
Do you have a copy of your Medic/Corpsman school transcripts/military course completions (Joint Service Transcripts)?Yes No N/A

Do you have a copy of your diploma/certificate of completion from Medic/Corpsman program?

Yes No N/A

Do you have a letter of recommendation from your Commander/Department Head?

Yes No N/A

If not, do you have a copy of your recent discharge papers?

Yes No N/A

What date were you discharged?

Do you have a copy of an unexpired government issued Photo ID and Social Security card?Yes No N/A

Military personnel, please go to end of form and read additional application information .



EDUCATION - Continuing / Other

Did you attend an accredited institution of medicine , nursing or medical assisting ?

Yes No N/A
Institution name:
Location:
Year of graduation:
Degree Title/Program granted:
Did you take your medical assisting program online? Yes No N/A
Did you attend a medical assisting practicum or externship? Yes No N/A
If yes, where:
If you did not graduate, how many semesters did you complete?
How long have you been working as a Medical Assistant?N/A

If not working at present, how long since you last worked as an MA?

List the last 3 (if applicable) places you have worked as a medical assistant (facility name, location, dates of employment)


How long have you been working as a Physician or Nurse? N/A

If not working at present, how long since you last worked as a Physician or Nurse?

List the last 3 (if applicable) places you have worked as a Physician or Nurse (facility name, location, dates of employment)
1.
2.
3.



Documentation to be submitted for review
Do you have a copy of your diploma from an accredited medical , nursing or medical assisting institution?
Do you have a copy of your transcripts from an accredited medical , nursing or medical assisting institution?
If a graduate of a foreign institution, is your diploma translated?
If a graduate of a foreign institution, are your transcripts translated?
*Legible copies of these two forms of valid identification are required. Both identifications must bear the applicant's signature (Social Security Card, from the USA Social Security Administration, with your signature AND Photo Identification with your signature - unexpired state issued driver's license, state or federal issued identification card, or passport).
*Do you have these two forms of valid ID with your signature? (social security card with your signature AND unexpired government issued photo ID with your signature ).
If there are any discrepancies between your valid ID and your diploma and transcripts; letter of recommendation; and/or work history, do you have legal documentation to substantiate the discrepancy (birth, marriage, divorce certificate)?
If in a language other than English, is your documentation translated?
Do you have an official letter of recommendation from your physician employer, on original facility letterhead , stating dates of employment, specific clinical and clerical duties performed and the physician's determination you are qualified to be a traditional medical assistant. (This letter must include the physician's signature and medical license number, as this is an official letter of recommendation). Notes written or typed on plain copy paper will not be accepted. The letter must be official .
If in a language other than English, is the letter translated?
If you do not have a letter of recommendation from your physician employer, do you have an official letter from the Human Resource Department, stating your dates of employment and a copy of the official posted job description for your position?
If in a language other than English, is the letter and documentation translated?

Foreign Medical Professionals Only
If you do not have one of the above-mentioned required recommendation letters, do you have a copy of your official work history/work book documentation issued by the foreign government agency from your country of origin?
If in a language other than English, is your official work history/work book documentation translated?


TRADITIONAL MEDICAL ASSISTING DUTIES PERFORMED . These are the duties you PERFORM on a daily basis. DO NOT include knowledge of aspects of medical assisting. Doing so is a disservice to your place of employment; to the physicians, nurses and support staff with whom you work; to the patients you attend; to the medical community and, most of all, to yourself.

LIST ALL SPECIFIC CLERICAL DUTIES AND RESPONSIBILITIES PERFORMED:

LIST ALL SPECIFIC CLINICAL DUTIES AND RESPONSIBILITIES PERFORMED:

Your diploma, transcripts, letter of recommendation and/or official job description and/or work history submitted for final review must accurately correspond with what you have submitted for pre-qualification review. If your application and documentation submitted for final review does not correspond with the pre-qualification form you submitted for review, you will be rejected and you will forfeit your application fee.

*Have you read the above statement? Yes No

Security Key: Please enter the number displayed in the yellow box.

* HAVE YOU READ THE ABOVE INFORMATION? Yes No

All policies, procedures and criteria are subject to change and may occur without notice.


Thank you for completing this Pre-qualification form.

New Users Start Here:
  1. Overview - READ FIRST!
  2. Application Requirements
  3. Prequalification Form
  4. Create Login Account For CEUs
  5. Take CEUs
Login to Take CEUS:
Login:
Password:
  1. Forgot Login or Password
  2. How Do I Get a Login?
Questions?:
  1. Common Questions
  2. Contact Us
 
 
 
The American Registry of Medical Assistants
61 Union Street Suite 5, Westfield, MA 01085, USA
Phone: 413.562.7336
 
 
home