Application Forms

Part I (CBT exam) Forms:

Online Application Part I/Part I Exemption ---- ----
Verification of Clinical Neurophysiology Training DOC PDF
Scanner Form for Part I PDF

Part II (CBT exam) Forms:

Online Application Part II ---- ----
Scanner Form for Part II PDF

Recertification Forms

Online Recertification Application ---- ----
Scanner Form for Recertification (For exam) PDF
Recertification CME Documentation Form DOC

Other Forms

New Certificate Order Form DOC PDF
Employer Verification of Credentials ---- ----
Make a Donation DOC PDF
Special Testing Center Form ---- ----

Fee Schedule

Fee Schedule
Non-refundable on-time Application Fee (must be sent with application) $250.00
Part I Examination $550.00
Part II Examination (per track selected) $550.00
Recertification CME Option (submission due every 3 years) $200.00
Recertification Exam Option $550.00
Special Testing Center Fee $200.00