supervising diplomate Forms

Applications for Prospective Residents
Please reference the Certification Eligibility Information page for more information. The Provisional Resident applications are handled by the ACVO® Residency Committee.

Portal-Access Forms
The below forms are all located through the Supervising Diplomate Portal after signing in.

Residency Evaluations
Evaluations are to be conducted via an online system. Supervising Diplomates and ACVO® Residents must submit forms through the online portal. If you are having difficulty signing into the portal, please contact the ACVO® office. Relevant details will be posted on this prior to the January 5th due date. Questions may be directed to the Residency Committee.‍ ‍

Applications for Universities & Clinics‍ ‍
Residency Training Program Application form
Download and complete the Residency Training Program Application. Then submit your application for submission to the ACVO Residency Committee here for approval. Your application will then be automatically be copied to the ACVO Residency Committee and the ACVO office.

Complete RTP Applications from institutions that are currently training one or more Residents must be submitted by AUGUST 15TH for consideration prior to the ACVO meeting or FEBRUARY 15TH for consideration in the spring. Programs will not be considered on a rolling basis. It is the goal of the Residency Committee to review and approve/decline all RTP applications by October 1st and April 1st. A delay may occur if additional information is requested by the committee. Individual requests (last minute funding, etc.) may be considered on a case to case basis as long as existing programs are submitted 90 days before the start of the program and new programs are submitted 120 days before the start of the program. Please direct any questions to the Residency Committee.

Changes were made to residency requirements, which resulted in the modification of this form in September 2017, read a message from the ABVO and Residency Committee which highlights these changes.

Program Supervision Changes and Information on Probation Suspension and Revocation of a Residency Training Program
Download this document (approved 9.30.19)

Supervising Diplomates and External Participant Residency Information Form
In order to facilitate timely tracking of Supervising Diplomates’ (Sup Dip) information for residents, the ACVO will require all Supervising Diplomates to submit the “Supervising Diplomate” form, beginning August 15th, 2017.

Supervising Diplomates are required to submit ACVO notification form when the following occur:

  1. Becoming a Supervising Diplomate or External Participant for the first time, for each resident.

  2. After a time lapse, if changing or adding additional residents whom are overseen by that SD or EP.

  3. If exiting from a current residency program and will be replaced by another Supervising Diplomate.

IMPORTANT! Before completing this form to remove your status as an SD or EP, you must submit the “Certifying Examination Supervising Diplomate Form" for credentials. This is available when signed in to your ABVO® portal, located directly under the ‘Supervising Diplomate Forms’ tab. If this is not submitted through the portal first, you will lose all access to all SD forms on the portal and not be able to complete these for residents in the future.

Submission and confirmation received via the Supervising Diplomate form are the only official means of communication to the Residency Committee in this matter. Emails to the office and to the Residency about such changes will no longer be accepted.

Application for ECVO Diplomates to Acquire ACVO Supervising Diplomate Status
Complete this form and email it and all applicable documents to the ACVO Office.

Resident Forms

Certification Process Table & Resident Form Links

Instructions to Residents

  1. Access the following forms directly:
    Residents starting in 2018 with minimum requirements (instructions).

  2. RTP Supplemental Surgical Guide Categories (updated 11.6.19)

Online Reimbursement Requests

For Committees and Resident Course Reimbursements
(Updated 4.22.2019)

The ACVO provides for an online submission of expenses toward official meetings and activities. Board and committee members may submit for reimbursement using the below summary spreadsheet and online form.

Additionally, this form is to be used by residents submitting for reimbursement of up to $500 for their registration in the Basic Science Course or the ACVO Vision for Animals Phaco Course. *Please note that the course being submitted for must have already been completed/attended.

Steps to submit for reimbursement online using a digital form:

  1. Complete this summary expense spreadsheet (in Excel)

  2. Complete this digital 'reimbursement form'

  3. Attach the expense sheet and any digitally scanned receipts to the digital 'reimbursement form'

  4. Submit the form, with attachments (backup of receipts, course registration proof, etc.).

Only complete requests will be processed, allow 2-3 weeks for payment receipt via check in US funds. If a bank wire is required, please email the office.

Contact the ACVO with any questions.