Instructions For The Qme Application Form

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For Use on the QME Application Form
IMPORTANT: PLEASE USE THREE LETTER SPECIALTY CODE WHEN
COMPLETING BLOCK 8 OF APPLICATION FORM
MD/DO SPECIALTY CODES
NON-MD/DO SPECIALTY CODES
*denotes a doctor of chiropractic who has
MAI
Allergy and Immunology
completed a chiropractic post-graduate
MAA Anesthesiology
specialty program
MRS Colon & Rectal Surgery
MDE Dermatology
ACA Acupuncture
MEM Emergency Medicine
DCH Chiropractic
MFP
Family Practice - MD
DCN Chiropractic - Neurology*
OFP
Family Practice - DO
DCO Chiropractic - Orthopaedic*
OFM Family Practice - DO - Including Osteopathic
DCR
Chiropractic - Radiology*
Manipulation
DCS
Chiropractic - Sports Medicine*
MPM General Preventive Medicine
DCT
Chiropractic - Rehabilitation*
MOH Hand - Orthopaedic Surgery
DEN
Dentistry
M P H Hand - Plastic Surgery
OPT
Optometry
MSH Hand - Surgery
POD
Podiatry
MMM Internal Medicine
PSY
Psychology
MMV Internal Medicine - Cardiovascular Disease
PSN
Psychology - Clinical Neuropsychology
MME Internal Medicine - Endocrinology
Diabetes and Metabolism
MMG Internal Medicine - Gastroenterology
M M H Internal Medicine - Hematology
MMI Internal Medicine - Infectious Disease
MMO Internal Medicine - Medical Oncology
M M N Internal Medicine - Nephrology
MMP Internal Medicine - Pulmonary Disease
MMR Internal Medicine - Rheumatology
MOQ Medicine - Otherwise Qualified
MPN Neurology
MNS Neurological Surgery
MNM Nuclear Medicine
MOG Obstetrics and Gynecology
MPO Occupational Medicine
MOP Ophthalmology
MOS Orthopaedic Surgery
MOB Orthopaedic Surgery - Including Back
MTO Otolaryngology
MAP Pain Management - Anesthesiology
MPP
Pain Management - Pain Medicine
MHA Pathology
MEP
Pediatrics
MPR Physical Medicine & Rehabilitation
MPS
Plastic Surgery
MPD Psychiatry
MRY Radiology
MSY Surgery
MSG Surgery - General Vascular
MTS
Thoracic Surgery
MPT
Toxicology - Occupational Medicine
MET Toxicology - Emergency Medicine
MUU Urology
Attachment to Form 100
Rev. 12/00

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