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 804.643.2287 Phone 804.622.8144 Fax ccvs@ramdocs.org You may pay by MasterCard, VISA or check. Initial Application to Download AHP Application to Download J1-Visa Application to Download (For J1-Visa Applicants, do not submit a check). OPTION 2 - On Line Available Soon!