State Anatomy Board

Name:

Please find enclosed your recently submitted pre-registration form for the Maryland State Anatomy Board

We have evaluated your form and identified the following issues that must be resolved in order to complete your registration with our program:

Signature and date of person attempting to pre-register.
Signature and date of two witnesses.
Incomplete information – ALL FIELDS MUST BE COMPLETED.
Other: Specify

Please make requested changes if you wish to continue with your pre-registration and mail back corrected form in the enclosed envelope. An acceptance letter will be mailed after corrected form is evaluated and accepted.

If you need any further assistance with your registration, please contact the office during normal business hours.

55 W Baltimore Street · BRB Bldg. · Room B-026 · Baltimore, MD 21201
Phone 410-547-1222 · Fax 410-706-8107
In State Toll Free 1-800-879-2728 · TTY 1-800-735-2258
Web Site: health.maryland.gov/anatomy