Forms & Required Documents

All Forms must be downloaded and completed; we cannot mail them to you.

All Forms must be completed before submission of the online application!

For Recertification, you will need to submit the following documents with your online application.
If employed by a Hospital, SurgiCenter, SA Group or Physician:
  • Work Verification Form (HERE)
  • PayPal Receipt (will obtain in payment step of application)
If Self-Employed:
  • Case Log Form (HERE) or Your Case Log Summary Sheet
  • Continuing Medical Education Form (HERE)
  • CPR, ACLS or PALS Certification
  • PayPal Receipt (will obtain in payment step of application)

Full Recertification Information is available by clicking the button below.

For Initial Applications, you will need to submit the following documents with your online application.
Physicians & Dentists
  • Medical School Completion (diploma)
  • Curriculum vitae (resume)
  • Professional Passport Photo (image)
Licensed Physician Assistant (PAC), Licensed Nurse Practitioner (NP), Nurse (RN/LPN) or Surgical Technologist (CST/ST)
  • Formal Surgical Assistant Training Program Documentation/Completion
  • Curriculum vitae (resume)
  • Professional Passport Photo (image)
  • Manual Skills Assessment (HERE)
Surgical Assistant
  • Current Surgical Assistant Certification
  • Curriculum vitae (resume)
  • Professional Passport Photo (image)
  • Manual Skills Assessment (HERE)

Full Exam Eligibility Information is available by clicking the button below.