Where

This is an online event.

Contact

Cindy Hayter, Executive Director
American Chiropractic Board of Sports Physicians™
844-327-2255
info@acbsp.com

ACBSP™ 2019 Annual Certification Maintenance Registration and Payment

ACBSP™ has revised the policy that governs annual certification maintenance requirements & associated processes. This process, formerly known as "recertification", is now termed annual certification maintenance. Please complete the registration form & make payment for 2019. See policy update https://acbsp.com/certification/certification-maintenance

* Required information

Personal Information

  • *
  • *
  • *
  • *
  • *
  • *

    I hereby attest that I am in compliance and will continue to comply with the requirements of the ACBSP™ Certification Maintenance and Continuing Education Policy (see policy for details at https://acbsp.com/certification/certification-maintenance). These requirements include payment of the annual maintenance fee ($125 prior to Jan 31 and $150 until Jun 30), maintenance of healthcare provider level CPR certification and completion of annual CEUs (12 for CCSP® and 24 for DACBSP®).

  • *

    I hereby attest that I have read, understand and accept the ACBSP™ Certificant and Candidate Agreement and Release available at https://acbsp.com/wp-content/uploads/2018/11/acbsptm_certificant_and_candidate_agreement_and_release.pdf

  • *

    I hereby attest that the email address I have provided on this registration form is a unique email address and not shared by any other ACBSP™ certificant. I understand that this email address will be used by the ACBSP™ to communicate important information regarding my certification to me. I also understand that this email address will be used to allow me access to vote in the board election assuming I maintain my certification and remain eligible to vote.

  • Promo Code

    Apply
  • Fee

    Type Fee
    $150.00
    $75.00
    $150.00

Business Information for Certificant Directory

  • *
  • *
  • *
  • *
  • *
  • Fax number:

  •  characters remaining
  • *

    Do you want your business information listed on our online directory?

$9,999.99

Payment

Payment Method

  • Please make check payable to:
    American Chiropractic Board of Sports Physicians™
    3210 E. Woodmen Road
    Suite 100, Office #3
    Colorado Springs, CO 80920

Payment Summary


Yes, I would like to receive your email newsletters

Register