Application Summary |
Question | Response | Required Documents and Payment Information |
Personal Information |
Application Agreement: | You have accepted the terms and conditions of the ARDMS Application Agreement. | |
ARDMS Number: | 120383 | |
Name: | NICHOLE R STULTZ | You have confirmed that the name displayed here is your full, legal name and is identical to the name the on the primary photo ID you intend to present for admittance to a testing center. |
Email: | nbstultz@hotmail.com | Please ensure your email address is correct. To update your email address, log onto your MY ARDMS account. The email address you provide in your application will be used by Pearson VUE as part of the information required to schedule a date and time to take an examination. |
Date of Birth: | 03/24/1980 | |
Address Line 1: | 1060 S. COLUMBIA RD. 33 | To update your contact information, log into your MY ARDMS account. |
Address Line 2: | | |
Address Line 3: | | |
City: | WALDO | |
State: | AR | |
U.S. ZIP Code: | 71770 | |
Country/Area: | USA | |
Home Phone Number: | (870) 904-5663 | |
Employer Information |
Employer: | SPRINGHILL MEDICAL CENTER | |
Employer Address Line 1: | 2001 DOCTORS DR. | |
Employer Address Line 2: | | |
Employer Address Line 3: | | |
Employer City: | SPRINGHILL | |
Employer State: | | |
Employer ZIP Code: | 71075 | |
Employer Country/Area: | USA |   |
Work Phone Number: | (318) 539-1027 | |
Employment Information & Educational Background |
Employment/Clinical Education: | ACUTE CARE SETTING | |
Education Country/Area: | USA | |
Other Credentials: | RADIOLOGIC TECHNOLOGIST | |
General Education: | BACHELOR'S DEGREE | |
Work Experience in Sonography? | Yes | |
Country Where Experience Gained: | USA | |
Do you require testing accommodations due to a documented disability? | No | |
Compliance Information |
Application Agreement: | You attested that you have received, read and understood all of the terms and conditions within the current ARDMS Application Agreement. | |
Compliance: | You attested that you have received, read and understood all of the terms and conditions within the current ARDMS Compliance Policies. | |
Compliance Violations: | You attested to having no violations of the ARDMS Compliance Policies. | |
Examination(s) & Application Fee(s) |
Adult Echocardiography: | $275 | A completed ARDMS Clinical Verification form is required as a prerequisite for most applicants applying for a specialty examination.
If you already have a valid Clinical Verification form on file, you will not need to submit another one at this time. Please note that the forms are only valid for one year from the signing date. If you are unsure whether or not you have a valid form on file, please log into MY ARDMS and click on the Clinical Verification menu option. |
Total (All fees are processed in USD): | $250 | Each examination fee includes a $100 non-refundable processing fee.
A $50 USD fee will be assessed to individuals taking ARDMS examinations at international testing centers (outside the US and Canada). The fee will be charged at the time the examination is scheduled and is subject to change without notice.
Veterans of the US Armed Forces – click here for information about GI Bill Reimbursement Program. |
Payment Information |
Order Date: | 06/03/2021 | |
Payment Method: | MasterCard |   |
Last Four digits of Credit Card: | 6541 | |