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Registration

Registration for Mohs Micrographic Surgery Fellowship Match is open from June until November. Late applicants should take into consideration program deadlines. Please scroll down to download a registration form.

Registration Confirmation

Once registered, you will receive confirmation e-mail with your 5-digit match registration number, login to access the full-version of the program directory, and link for secure online payment. Additional match information can be found on this website.

Click the download button below to download a registration form in PDF format.

Payment

You may pay the $50 non-refundable registration fee by:

  • Visa or MasterCard

  • Money Order

  • Cashier's check

  • Personal check

  • Please make checks payable to Mohs Micrographic Surgery Fellowship Match

Submitting your form

Completed registration forms should be submitted electronically by clicking the “Submit Online” Button at the bottom of page one of the form.

Download Registration

You must have the FREE Adobe Reader 6.0 or higher version to view, complete the registration form.

 

 

 

 

 

 

 

 

 

 

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