The International Board for the Certification of Specialists in Oral
and Maxillofacial Surgery (IBCSOMS) rules and regulations require that an initial
credentialing and annual renewal of credentials protocol be conducted to assure
the public and profession that you are in good standing in the community and profession.
Additionally the IBCSOMS reminds you of your obligation to conduct your professional
activities in accordance with the Code of Conduct of the International Board for
the Certification of Specialists in Oral and Maxillofacial Surgery. Therefore, the
following attestation statement must be completed.
Therefore, the following attestation statement must be completed. I
am confirming my intent to the International Board for the Certification of Specialists
in Oral and Maxillofacial Surgery (IBCSOMS) to participate in the Certification
and Continuous Improvement in Practices processes and all that this entails. I acknowledge
that I begin this process in accordance with the IBCSOMS’ established rules and
regulations, guidelines and standards understanding that circumstances may make
it necessary to modify the processes which could change the requirements to become
certified and/or maintain certification. For the processing of my application and
necessary documentation by the Credential Committee of the IBCSOMS, I submit all
required fees which are not refundable. In addition, for consideration of my acceptance
by the IBCSOMS for examination and/or maintenance, I understand and agree that:
The IBCSOMS may, at its discretion, investigate my standing and reputation
as an oral and maxillofacial surgeon, in the practice of the specialty, including
my reputation for complying with the standards of conduct of the specialty, and
that this investigation may take place to or subsequent to any examination given
to me by the IBCSOMS; and Should the IBCSOMS obtain information that I provided
fraudulent information or cheated on any IBCSOMS examination I may be prohibited
from ever taking or retaking any IBCSOMS examination, and further should I be a
Fellow of the IBCSOMS my certificate will be revoked; and The IBCSOMS may, at its
discretion, refuse to examine me, or having examined me may refuse to award a certificate
based upon above described investigation, and I understand that said refusal shall
be final; and In the event the IBCSOMS refuses to issue a certificate on the basis
set forth in subparagraph (3) above, I hereby waive any right I may have to question
said refusal in any court of law or equity or other tribunal and further waive any
right to a return of any fees; and I am not currently a subject of any disciplinary
action by any jurisdictional agency or legal entity. I hereby release, discharge
and exonerate the IBCSOMS, its Directors, Officers, Fellows, Examiners, representative
and agents from any actions, suits, obligations, damages, claims or demands arising
out of, or in connection with, this application, the grade or grades with respect
to examinations, and the failure of the IBCSOMS to issue me a certificate. It is
understood that the decision whether I am qualified for a certificate rests solely
and exclusively in the IBCSOMS and that its decision is final. I also state that
I am responsible for the information herein recorded and that all statements are
true and accurate.
Note : All communication from the IBCSOMS will be conducted by email. It is your responsibility to notify us if your email address is changed.