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

ACBSP™ 2020 Annual Certification Maintenance Registration and Payment Form

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 2020. See policy update https://acbsp.com/certification/certification-maintenance

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  • Fee

    Type Fee
    $125.00
    $62.50
    $125.00

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Certificant Information

  • I hereby attest that I will comply with the requirements of the ACBSP™ Certification Maintenance & Continuing Education Policy (see policy at https://acbsp.com/wp-content/uploads/2019/11/ACBSP™-Continuing-Education-Policy-11-2019.pdf). These requirements include payment of the annual certification maintenance fee ($125 if paid Nov - Jan 31 & $150 if paid Feb - Jun 30) & the requirements listed in the following attestations (CPR certification, misconduct in sport & annual CEU requirements).

  • I hereby attest that I currently have a healthcare provider level CPR certification in good standing OR will be by December 31, 2019.

  • I hereby attest that I currently have a "misconduct in sport" training in good standing OR will have by December 31, 2019. This requirement has been changed from a biennial (every 2 years) to every four (4) years. "The ACBSP shall require certificants to demonstrate evidence of training to recognize, reduce and respond to all misconduct in sport (i.e. SafeSport, or comparable program) every four (4) years as a requirement to maintain certification."

  • I hereby attest that I have completed the required number of annual CEUs (12 for CCSP® OR 24 for DACBSP®) for the current year OR will by December 31, 2019. The ACBSP™ requirement is on an annual basis from January 1 - December 31.

  • 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/2019/09/ACBSP™-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 annual board election assuming I maintain my certification and remain eligible to vote.

$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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