Initial Application

1Start

2Select Occupation

3Demographic Information Approval

4Payment

5Application

6Preview Application

Before completing your SA-C exam application please read eligibility.
All application forms must be filled out on the computer. ABSA does not mail blank application packages.
Do not use international keyboard.
If you need assistance with your application, feel free to contact us, Monday – Friday, 8:00 AM to 4:00 PM CST at 1-877-617-8345 or via email at: [email protected]

IMPORTANT: This form might not work properly on the Safari browser. We are working on fixing the problem, but in the meantime, please try using another browser such as Chrome. We apologize for the inconvenience.

Please select your occupational training from list of required documents.
Please ensure you have all required documents scanned into your computer before proceeding to step 3.
The application is designed to be submitted electronically. Do not print and mail, fax, or email any documents unless specifically requested by ABSA.
All scanned and uploaded documents MUST be less than 8MB each and saved in one of the following formats:
- Word Document (.doc/.docx)
- photo image (.jpg, .gif, or .png)
- Adobe Acrobat (.pdf)
If you need assistance with your application, feel free to contact us, Monday – Friday, 8:00 AM to 4:00 PM CST at 1-877-617-8345, or via email at: [email protected].

Occupation *

Physician
Dentist
Licensed Physician Assistant (PAC)
Licensed Nurse Practitioner (NP)
Nurse (RN/LPN)
Surgical Technologist (CST/ST)
Surgical Assistant

Required Documents:

Medical School Completion (diploma)
Curriculum Vitae (resume)
Professional Passport Photo (image)

Required Documents:

Medical School Completion (diploma)
Curriculum Vitae (resume)
Professional Passport Photo (image)

Required Documents:

Formal Surgical Assistant Training Program Documentation/Completion
Curriculum Vitae (resume)
Professional Passport Photo (image)
Manual/Practical Skills Evaluation

Required Documents:

Current Surgical Assistant Certification
Curriculum Vitae (resume)
Professional Passport Photo (image)
Manual/Practical Skills Evaluation

ABSA Statement on Personal and Professional Demographic Information.

The ABSA abides by the General Data Protection Regulation (GDPR) and Demographic Privacy Laws. ABSA collects personal and professional demographic information to better serve the organization. (e.g.,Professional photo, name, address, telephone numbers, date-of-birth etc.)

These demographics are required in order to fully process your application.

Individual personal demographic information is not distributed or disseminated, without your approval.

Not accepting this information will cause a rejection of your application.

Info Consent *

I approve the use of my personal and professional demographic information
I do not approve the use of my personal and professional demographic information

We are sorry, but your application can not be be completed.

Enter Your First Name *

Enter Your Last Name *

Enter Your Date Of Birth *

• In this step, you will be required to pay your Surgical Assistant Certification Exam Application Fee through PayPal with a valid PayPal account, debit, or credit card.
• PayPal will provide you with a proof of payment receipt by email.
• This receipt should be saved in case you have to attach it to your application.
• Paying online DOES NOT constitute an application for examination or recertification. We must have the application, and all required supporting documentation.
• DO NOT proceed unless you have a valid PayPal receipt

Surgical Assistant Certification Exam Application Refunds
• If you wish to cancel your Surgical Assistant Certification application, a request for a refund must be sent to [email protected]. The request must include your full name, mailing address and phone number. An administration fee of $100.00 may be withheld along with any optional fees. Refunds will be refunded within six weeks.
• If you accidentally paid twice please email both payment receipts to [email protected] to request a refund.

• NOTE: Late fees may apply and are calculated automatically at the time of application submission.

If you want to purchase the 40 question practice exam at a discounted rate you can add to your cart now, otherwise you will have to pay full price.

40 Question Practice Exam (Discounted):

$30.00Add to cart

Your cart is currently empty.

Return to shop

Your payment has already been processed.

Complete all fields in the Surgical Assistant Certification exam application, you will have an opportunity to preview your application for accuracy before submitting.

Preferred Exam Language

Identity Information

Photo *

Click or drag a file to this area to upload.

Attach your photo (only jpg and png files)

First Name *

Middle Name

Last Name *

Suffix

Name As Desired To Appear On Certificate *

Please do not include your credentials (e.g., MD, PhD, RN, etc)

Email *

Phone Number *

Alternate Phone Number

Date Of Birth *

Place Of Birth *

Country Of Birth

Gender *

Race/ethnicity *

Address Information

US or International

I live outside of the US

US Address *

Address Line 1

Address Line 2

City

State

Zip Code

International Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Mailing show

My mailing address is different

Mailing address type

US Mailing Address *

Address Line 1

Address Line 2

City

State

Zip Code

International Mailing Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Occupational Training

Occupational Training *

Name of Medical School *

Name of Training Program *

Date of Graduation *

Required Documents

Medical School Diploma *

Click or drag a file to this area to upload.

Training Program Documentation *

Click or drag a file to this area to upload.

Current Surgical Assistant Certification *

Click or drag a file to this area to upload.

Curriculum Vitae/Resume *

Click or drag a file to this area to upload.

Manual/Practical Skills Evaluation *

Click or drag a file to this area to upload.

Payment

Transaction ID

We could not automatically retrieve the ID of your payment, please upload the payment receipt.

Upload Payment Receipt

Click or drag a file to this area to upload.

Additional Skills

Surgical Skills *

Surgeon
Non-surgeon

Surgical Specialty *

Area of Expertise *

Primary Language *

Other Languages

Cardiothoracic Surgery *

Neurosurgery *

Orthopaedic Surgery *

Robotic Surgery *

Plastic Surgery *

EVH *

Acknowledgments

Applicant Acknowledgement Statement

I acknowledge that the role and function of a surgical assistant is to assist the surgeon, in the performance of a surgical procedure. I understand and acknowledge that certification as a surgical assistant through the ABSA does not allow for any independent performance of any medical or surgical procedures, within the United States of America or its territories.

Please Note: Anyone found guilty of "Practicing Medicine Without a License," in the United States of America or its territories, either by court trial or plea agreement, will lose their certification and never be eligible to certify with the ABSA again.

Applicant Acknowledgement Statement *

I agree with the above Applicant Acknowledgement Statement

Applicant Validation of Information Statement

I certify that I understand all statements in this application and affirm all information contained in this application to be true and correct. I understand that any misrepresentation will result in rejection of this application and/or revocation of any certification, obtained through the ABSA. I agree to hold the American Board of Surgical Assistants free from damage or complaint, by reason of any action its directors, officers or agents may take in connection with this application, or failure of the ABSA to issue certification to me.

For security purposes, your IP Address 18.224.59.138 is being recorded in our database.

Applicant Validation of Information Statement *

I agree with the above Applicant Validation of Information Statement

Demographic Information Approval

These demographics are required in order to fully process your application.

Individual personal demographic information is not distributed or disseminated, without your approval.

Not accepting this information will cause a rejection of your application.

Demographic Information Approval *

I approve the use of my personal and professional demographic information

Release of Information

I acknowledge that examination results are not discussed or given out by ABSA via telephone or fax. Results are not released to anyone other than the candidate who took the examination unless written consent is provided by the examinee. Score reports are provide to medical licensure boards as required.

Release of Information *

I approve the above-mentioned release of my information

Confidentiality

I further agree to keep all information regarding the examination questions, answers, pictures and graphics confidential.

Confidentiality *

I agree with the above Confidentiality Statement

Code of Ethics

Applicants and certificants must abide to practice surgical assisting in a manner consist with the certification standards and responsibilities set forth in the ABSA Code of Ethics.

Code of Ethics *

I agree with the above Code of Ethics Statement

Verification Database Opt Out

Do you want to opt out of having your certification number, name, original certification date, recertification date and expiration date visible in the ABSA verification database? By selecting yes your information will not be visible and anyone trying to verify your certification will need to contact [email protected] to obtain this information.

Verification Database Opt Out Old

I wish to opt out

Verification Database Opt Out

No, I do not wish to opt out
Yes, I wish to opt out