Request for Certification Verification

If you are not a member of the ABOMP but are trying to confirm a doctor’s membership in this organization, for a fee of $50, you may request written verification of his or her ABOMP certification as an oral and maxillofacial pathologist.

To pay the $50 fee by check, follow the instructions on this PDF form. The certification verification will not be sent until the check clears. Checks returned for insufficient funds will incur an additional $25 charge (plus whatever your bank charges you).

For faster service, pay by credit card. Submit the online form below and you will be taken to PayPal’s secure website to complete the financial transaction. Once there, click the “Don’t have a PayPal account?” link to pay by Visa, MasterCard, Discover or American Express.

Your Information

Name *

Telephone *

Email *

Diplomate Information

First Name *

Last Name *

Receive ABOMP Certificate Verification via

options *

Fax

Physical Mail (First Class USPS)

Fax Number

Fax Recipient's Name

Postal Address

Email (if different from above)

You are here

Request for Certification Verification