Physician Attestation

All physicians, including project leaders, participating in any MOC Part IV project must submit a physician attestation to receive credit.  If approved, participation will be reported to the national Multi-Specialty MOC Program and the participating specialty boards or the NCCPA.  Participants must be part of an approved project and may submit an attestation at any time as long as the QI effort is ongoing.

MOC Part IV Project Application Form

Use this form to submit your Quality Improvement project to the QPRB.  Once approved, your project will be submitted to the Multi-Specialty MOC Program (within ABMS) and the participating specialty boards.  Please only submit one form per project.  This form may also be used for the pre-approval of new QI efforts.

Contact Us

Maggie Sommers
Program Manager
13001 East 17th Place, C-295
Aurora CO 80045