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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 and associated processes. This process, formerly known as "recertification", is now termed annual certification maintenance. Please complete the required registration form and make payment for 2019. See the revised policy and terms www.acbsp.com/node/13.

* Required information

Personal Information

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    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 www.acbsp.com/node/13). 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®).

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    I hereby attest that I have read, understand and accept the ACBSP™ Certificant and Candidate Agreement and Release available at www.acbsp.com/node/13

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    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.

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  • Fee

    Type Fee
    • $150.00 after Friday, February 1, 2019
    $125.00
    • $75.00 after Friday, February 1, 2019
    $62.50
    • $150.00 after Friday, February 1, 2019
    $125.00

Business Information for Certificant Directory

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  • Fax number:

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$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


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