Pre-Qualification Form

If you have been a member of ARMA in the past, please contact ARMA for further instructions or visit the reinstatement page for more information.

To receive an application you must submit the following Pre-Qualification form online. Please be aware processing takes up to 6 to 8 weeks for review. If you are not eligible to apply or clarification is required, you will be contacted via email. Please be sure to check both your Inbox and Junk Email for possible correspondence from ARMA.

Please do not send any documentation to ARMA unless you receive an application with a confirmation notice in the mail. All required documentation must be included in with your application, confirmation notice and non-refundable application fee.

Email us any questions concerning pre-qualifications.

Application Process:

Complete the Pre-Qualification Form We suggest: Read each question carefully before you enter your information. Include: Your dates of employment (start-end/mo-yr) with the medical facilities you worked. The department/specialty in which you work or worked. Please be specific with the clinical hands-on core competency skills/procedures you perform on a daily basis. If you attended school for medical assisting, state as such. We suggest you have your diploma/certificate and transcripts. You will need letters of recommendation as stated on the pre-qualification form. We will review your form for eligibility to apply.
Receive official application and confirmation notice from ARMA via USPS
Mail back the application with required non-refundable application fee and documentation as listed on the confirmation notice for final review
Receive your official acceptance package via USPS

To begin the above explained application process to become a Registered Medical Assistant 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.

All Applications Will Require:

Valid US Photo Identification
Valid Signed US Social Security Card
Letter(s) from each employer you list below may be required
Official Translation for each Non-English Document

Have you ever been a member of ARMA?

Yes

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)

Email (alternate)

Last Four Digits of SS#

Education High School

Did you graduate from an accredited High School?

Yes

N/A

School Name

Location

Year of Graduation

If No, did you obtain your GED?

Yes

N/A

Facility Name

Location

Year you obtained your GED

Disclosure

Have you ever been convicted of a felony or misdemeanor?

Yes

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

N/A

Can you supply a copy of your diploma/certificate of completion from Medic/Corpsman program?

Yes

N/A

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

Yes

N/A

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

Yes

N/A

What date were you discharged?

Do you have a copy of an unexpired government issued Photo ID and Social Security card?

Yes

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

N/A

Institution Name

Location

Year of Graduation

Degree Title/Program granted

Did you take your medical assisting program online?

Yes

N/A

Did you attend a medical assisting practicum or externship?

Yes

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?

N/A

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

Documentation to be submitted for review

Do you have a copy of your diploma from an accredited medical , nursing or medical assisting institution?

Can you supply 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?

*Required are 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, please supply legal documentation to substantiate the discrepancy (birth, marriage, divorce certificate)?

If in a language other than English, is your documentation translated?

Can you supply 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, can you supply 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, can you supply 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

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

* HAVE YOU READ THE ABOVE INFORMATION?

Yes

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

Thank you for completing this Pre-qualification form.

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