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Diplomate Request for Retired Status Form

If you are a retired surgeon who would like to take advantage of this certification status, please complete the form below.

Request the Retired Status

The ABS is now able to offer a certification status of "Retired" to diplomates who are no longer active in practice in any capacity.

After completing the form below to request the retired status, your records will be put under internal review. If you meet the necessary criteria, you will be awarded with a status that says, “Retired in Good Standing.”

If you are still active in an administrative role, this status is not for you.

Please note that your status will not say “Certified” unless you are currently participating in the ABS Continuous Certification Program. In the case of most retired surgeons, the full status will be, “Not Certified; Retired in Good Standing.”

Diplomate Request for Retired Status Form

Please fill out this form to request the "Retired" status

Please note, surgeons who are certified by more than one ABMS member board (e.g., American Board of Surgery and American Board of Thoracic Surgery) should be aware that, upon approval of this status with ABS, you will also be listed as retired with your other board(s). If you need to maintain an active status with your other ABMS board(s), do not apply for this status until you are retired in all areas of practice.

If you have any questions, please contact the ABS.

Name(Required)
Date that you officially retired from practice(Required)
Drop files here or
Accepted file types: pdf, Max. file size: 10 MB.
    Please upload any supporting documents you may have confirming your retirement.
    This field is for validation purposes and should be left unchanged.

    Contact a Coordinator

    Please use the form below to contact the appropriate exam coordinator. They will respond as soon as possible.