The $350 origination fee is a one-time fee ($750 for Locum Tenens and $250 for members of the Richmond Academy of Medicine). A maintenance fee is charged to ensure regular updated files for re-appointments to hospitals and health care plans, regardless of the number of entities.
OPTION 1 - In Print
Click below to download and print the appropriate application. Complete it and mail it with the requested attachments, the signed attestation page, and your payment of $350 ($750 for Locum Tenens and $250 for members of the Richmond Academy of Medicine) to CCVS at:
CCVS
2201 West Broad Street
Suite 205
Richmond, Virginia 23220
