Request for Certification Information Survey

Request for Certification Information

Please include your contact information below in order to receive updates as they become available for the certification revisions.

PLEASE NOTE: Changes have not been finalized, so we do not currently have information to share. We will communicate with you as soon as something is available.

Name & Contact Info

Name & Contact Info First Name
Last Name
Email Address

In which certification(s) are you interested?

Board Certification - Gerontology

Board Certification - Mental Health

Board Certification - Pediatrics

Board Certification - Physical Rehabilitation

Specialty Certification - Driving & Community Mobility

Specialty Certification - Environmental Modification

Specialty Certification - Feeding, Eating, & Swallowing

Specialty Certification - Low Vision

Specialty Certification - School Systems (new in 2013)

Please click "Submit" to save your responses.