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ACR Retired Request Form

In accordance with ACR® Bylaws, Article II, Section 6, “Retired Member or Fellow status may be granted upon application of a Member or Fellow who has fully retired from professional practice. A Retired Member or Fellow shall be relieved from payment of dues, have the right to be appointed to commissions, committees and task forces, and to serve in elected College office only during the first six years following the date of retirement. Notwithstanding the above, retired members are not eligible to serve on the Board of Chancellors.”

Retired members are not eligible to apply for FACR. In accordance with the ACR Bylaws, “Members who are fully retired may be eligible to be elected as Fellow Emeriti under extraordinary circumstances.” If the requirement for “extraordinary circumstances” is met, an online application must be submitted for consideration.

I request a change in my status with the ACR from active to retired. I have read and understand ACR requirements for making such requests and understand that I must pay dues for any year in which I worked. I also understand I may be responsible for paying chapter dues. (You may call Member and Customer Services at 800-347-7748 to discuss chapter dues owed.)

Speakers

Name Name, MD

President & CEO of the Institute for Healthcare

Name Name, MD

President & CEO of the Institute for Healthcare

Name Name, MD

President & CEO of the Institute for Healthcare

Name Name, MD

President & CEO of the Institute for Healthcare

Name Name, MD

President & CEO of the Institute for Healthcare

Name Name, MD

President & CEO of the Institute for Healthcare

Name Name, MD

President & CEO of the Institute for Healthcare

Name Name, MD

President & CEO of the Institute for Healthcare

Name Name, MD

President & CEO of the Institute for Healthcare

Name Name, MD

President & CEO of the Institute for Healthcare

Name Name, MD

President & CEO of the Institute for Healthcare

Name Name, MD

President & CEO of the Institute for Healthcare

Name Name, MD

President & CEO of the Institute for Healthcare

Name Name, MD

President & CEO of the Institute for Healthcare

Name Name, MD

President & CEO of the Institute for Healthcare

Name Name, MD

President & CEO of the Institute for Healthcare

Name Name, MD

President & CEO of the Institute for Healthcare

Name Name, MD

President & CEO of the Institute for Healthcare

Name Name, MD

President & CEO of the Institute for Healthcare

Name Name, MD

President & CEO of the Institute for Healthcare

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FIRST NAME LAST NAME, MD

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FIRST NAME LAST NAME, MD

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FIRST NAME LAST NAME, MD

Accreditation

SCALING INNOVATION, QUALITY IMPROVEMENT
AND PATIENT SAFETY IN HEALTHCARE

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