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Home
Who We Are
FAQ
Credentials
New Applicants Form
Credential Renewal Form
Credential Verification
Lost Credentials
International Health Care Provider
Reciprocity
Check Eligibility
Clinical Medical Assistants
Phlebotomy
Cardiology
Educators
Intravenous
Medical Aesthetics
Medical Massage Therapists
Nursing Professionals
Oxidative Medicine Specialist
Pediatric Phlebotomy
Continuing Ed
CALL FOR MORE INFO
(888) 745-6262
Home
Who We Are
FAQ
Credentials
New Applicants Form
Credential Renewal Form
Credential Verification
Lost Credentials
International Health Care Provider
Reciprocity
Check Eligibility
Clinical Medical Assistants
Phlebotomy
Cardiology
Educators
Intravenous
Medical Aesthetics
Medical Massage Therapists
Nursing Professionals
Oxidative Medicine Specialist
Pediatric Phlebotomy
Continuing Ed
Search
CALL FOR MORE INFO
(888) 745-6262
Email Us
Contact
Home
Who We Are
FAQ
Credentials
New Applicants Form
Credential Renewal Form
Credential Verification
Lost Credentials
International Health Care Provider
Reciprocity
Check Eligibility
Clinical Medical Assistants
Phlebotomy
Cardiology
Educators
Intravenous
Medical Aesthetics
Medical Massage Therapists
Nursing Professionals
Oxidative Medicine Specialist
Pediatric Phlebotomy
Continuing Ed
CALL FOR MORE INFO
(888) 745-6262
Home
Who We Are
FAQ
Credentials
New Applicants Form
Credential Renewal Form
Credential Verification
Lost Credentials
International Health Care Provider
Reciprocity
Check Eligibility
Clinical Medical Assistants
Phlebotomy
Cardiology
Educators
Intravenous
Medical Aesthetics
Medical Massage Therapists
Nursing Professionals
Oxidative Medicine Specialist
Pediatric Phlebotomy
Continuing Ed
CALL FOR MORE INFO
(888) 745-6262
Home
Who We Are
FAQ
Credentials
New Applicants Form
Credential Renewal Form
Credential Verification
Lost Credentials
International Health Care Provider
Reciprocity
Check Eligibility
Clinical Medical Assistants
Phlebotomy
Cardiology
Educators
Intravenous
Medical Aesthetics
Medical Massage Therapists
Nursing Professionals
Oxidative Medicine Specialist
Pediatric Phlebotomy
Continuing Ed
International Health Care Provider Application
Home
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International Health Care Provider Application
Application
Step 1
Step 2
Step 3
First Name
*
Last Name
*
Address
*
Address 2
City
*
Postal / Zip Code
State / Province
*
Country
*
--- Select a country ---
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belau
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo (Brazzaville)
Congo (Kinshasa)
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Ivory Coast
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kosovo
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
North Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
North Korea
Norway
Oman
Pakistan
Palestinian Territory
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Martin (Dutch part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
San Marino
São Tomé and Príncipe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia/Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom (UK)
United States (US)
United States (US) Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican
Venezuela
Vietnam
Virgin Islands (British)
Virgin Islands (US)
Wallis and Futuna
Western Sahara
Samoa
Yemen
Zambia
Zimbabwe
Email
*
Phone
*
Date
*
Last 4 of Social Security
*
Academic Institution
*
Year Graduated
*
NCMA Member Number
If Applicable *
Current Credentials
If Applicable *
Credential Sought
*
Maternal-Fetal Sonologist: International
Registered Cardiac Arrhythmia | Telemetry Specialist
Registered Advanced Medical Aesthetic Specialist
Registered Sonologist
Registered Medical Massage Therapist
Registered Phlebotomy Specialist
Registered Non-Invasive IV Technician
Registered EKG Specialist
Registered Clinical Medical Assistant Specialis
Registered Pediatric Phlebotomy Specialist
Registered Radiofrequency Ultrasound Cavitation
Registered Advanced Medical Aesthetics Specialist
Registered Educator
Application Prerequisite
*
Prerequisite 1
Prerequisite 2
Prerequisite 3
International Medical Doctor
Are you a current member and is this credential application a sub-specialty to a certification you actively hold?
*
Yes
No
I understand I have to take both the Clinical Science Written Examination AND Clinical Skills Practical Examination. I am aware I must take the Clinical Science Written Examination BEFORE I can challenge the Clinical Skills Practical Examination. At this time, I can choose to pay for only the Clinical Science Written Examination, or I can pay for both. I must Select my option below.
I am only paying $140.00 for the Clinical Written Science Examination right now. I understand I must pay a separate $140.00 for the Clinical Skills Practical Examination upon successful passing of my written examination.
I am paying $280.00 for BOTH my Clinical Science Written Examination AND my Clinical Skills Practical Examination right now. I understand I will have no balance left to my examination fee.
I confirm I have submitted the following required documents:
Government Issued Photo Identification
Transcript(s)
Certificate(s)/Diploma(s)
Degree/Medical Degree(s)
Transcript(s) (WES Certified Transcription)
International Degree/Medical Degree(s) (WES Certified Transcription)
American Heart Association BLS/CPR
Education Verification Letter
Clinical Experience Verification Letter
Employment Verification Letter
Peer-to-Peer Verification Form
Other Agency Credential
File Upload
Drop your file here or click here to upload
The cost of each credential|examination is $280.00. I understand that once my application is received, I will receive an invoice after my application has been processed for the credential|examination fee which I will pay within 48 hours of its receipt, otherwise my application will not be finalized.
*
I have read, understand, and agree to the process for my application to be completed.
I affirm that I will not release, share, copy or distribute, directly or indirectly, any information regarding the credential| examination. Further, I affirm I will not participate in any fraudulent test taking practices, nor will I assist anyone in doing such.
*
I have read, understand, and agree to the above statement.
Do you require special accommodations?
*
No, I do not.
Yes, I do. I understand I need to email formal documentation, such as an IEP or letter from a physician, to support my request.
I authorize the NCMA to verify any documentations to which I submit, including communications via phone and email regarding requests for clarification of discrepancies or concerns.
I have read, understand, and agree to the above statement.
I agree to follow the policies and procedures as required by the NCMA. I understand my adherence to and conduct towards the NCMA standards directly affects my credential standings. Further, I agree to refrain from any behaviors or actions, direct or indirect, which may affect the credibility, reputation or validity of the NCMA.
*
I have read, understand, and agree to the above statement.
I understand there is a $9.99 Transaction Fee which is non-refundable.
*
Acknowledged and Understood.
I attest that the information and documentation I am providing is true and accurate.
*
We want to make sure you are not a robot
*
What is 2+3?
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