Celebrating 60 Years of Credentialing Neuro Professionals

1964-2024

Application Forms

Written Exam Applications are processed through ABRET Credential Management.  Applications that are manually processed through ABRET require an additional $50 fee. Please read the Handbook carefully.

  

Manual Application Forms for ABRET Exams
 

   PDF   

  Word  

EEG Exam Application .PDF  .DOC
EP Exam Application .PDF .DOC
CNIM Exam Application .PDF .DOC
CLTM Exam Application .PDF .DOC
CAP Exam Application .PDF   .DOC
NA-CLTM Exam Application    
CMEG Application    

 

Petitions of Eligibility
 
EEG Petition of Eligibility
CNIM Petition of Eligibility
CLTM Petition of Eligibility
CNIM-CS Petition of Eligibility (microcredential)

 

Documentation Forms
 

   PDF   

  Word  

EEG Documentation Form .PDF  .DOC
EP Documentation Form .PDF .DOC
IOM Documentation Form .PDF  .DOC
CLTM Documentation Form .PDF .DOC
NA-CLTM Documentation Form .PDF .DOC
CAP Documentation Form .XLS  
CMEG Documentation Form  .PDF .DOC
CNIM-CS Documentation Form .PDF  

 

Education Documentation Forms
 

   PDF   

  Word  

IOM/EP Education Documentation Form .PDF  .DOC
CAP Education Documentation Form   .DOC
NA-CLTM Advanced Practice CEUs Form *NEW* .PDF  

 

Miscellaneous ABRET Forms
 

   PDF   

  Word  

Special Accommodations Request Form .PDF  
Credit Card Processing Forms .PDF  .DOC