Recertification Forms

Regular Recertification

All regular recertification reports must be submitted through the Online Filing System.

OFS Access the Online Filing System.

Category III CEU Documentation

CCPs complete and retain the form below as needed in order to document self-study, Category III continuing education activities for ABCP audits.

(Choose a version to download)

Form 6d ↓Download the Activity Review Report (doc-version)

Form 6p ↓Download the Activity Review Report (pdf-version)

Acrobat Reader Access a free copy as needed.

Special Cases

The following recertification forms are for use only by CCPs who are granted a recertification extension or conditional certification and extended leave. These special-purpose reports* are not submitted through the Online Filing System.

*Extension Forms

Form 7d ↓Download the Clinical Activity Report (doc-version)

Form 8d ↓Download the Professional Activity Report (doc-version)

*Conditional Certification and Extended Leave

Form 9p Access the policy

Form 10d ↓Download the Clinical Case Report (doc-version)

Form 11d ↓Download the Clinical Activity Report (doc-version)

*Download and complete the doc-version of a form with MS WordMS Word logo. E-mail the completed document as an attachment to