Records and Registration Forms

Click the link below to download a copy of the appropriate form to your computer.

Complete the form, print it, sign and return to AMS Records and Registration.

Completed forms can be:

  • Scanned and emailed to
  • Faxed to (401) 863-5096 , attention: Eileen
  • Delivered to Room 111 in the 1st floor Admin suite in the med school

Questions regarding these forms can be addressed to Eileen Palenchar (; 863-6152)

Time Away Instructions

LOA Request Form

ASP Request Form

ASP Progress Report