This form must be completed by all active CCSP® or DACBSP® certificants online on an annual basis as part of your annual certification maintenance requirements.  The ACBSP™ annual certification maintenance fee must be paid no later than June 30th.  Failure to pay prior to the deadline will result in the certification becoming inactive.  All inactive certificants are required to pay a $50 reactivation fee in addition to the yearly certificaton maintenance fee during the reactivation process.

If you are full-time faculty, please contact the National Office to receive a promo code prior to completing the form below. You must submit proof of full-time faculty status to receive the promo code via fax at (888) 419-9990 or email at [email protected].  A letter from the department chair or dean stating full-time faculty status for the current calendar year is required. This letter is required on an annual basis and must be submitted to the National Office prior to completing this form in order to receive a discount on your certification maintenance fee.

Certification maintenance fee:
November 1st – January 31st is $135

February 1st – June 30th is $160

The certification maintenance fee increases to $160 on February 1st and must be completed by June 30th to maintain an active CCSP® or DACBSP® certification

ACBSP™ 2024 Annual Certification Maintenance Registration and Payment Form
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Candidate & Certificant Agreement

I understand & agree that, as a condition of qualifying for the ACBSP™ certification, I hereby accept the following terms, requirements, & releases.

I accept & agree to satisfy the requirements of all current ACBSP™ policies, rules, & directives, including all requirements related to the ACBSP™ certification programs.

I understand & agree that I will provide the ACBSP with accurate, complete, & current information, including the information in my Certification Application or Certification Maintenance Registration. I agree to notify ACBSP™ in a timely manner of any changes concerning the information I have provided, including my current address, telephone number, & email address. I understand that my failure to do so may result in the issuance of sanctions by ACBSP™.

I understand & agree to abide by the standards & rules in the ACBSP™ Code of Ethics & the Ethics Case Procedures.

I understand & agree that, consistent with applicable ACBSP™ policies, procedures, or instructions, the ACBSP™ reserves the exclusive rights to: suspend, condition, limit, revoke, or otherwise terminate my certification or certification eligibility, & any rights or privileges related to the certification process; &, suspend or terminate my examination administration, & my examination score(s).

I understand & agree that it is my responsibility to promptly notify the ACBSP™ of any legal, government agency, or organizational matters in which I am a named party, including, but not limited to: lawsuits; administrative agency actions; professional disciplinary or ethics matters; malpractice claims; complaints related to my professional or business activities; &, matters or proceedings involving criminal charges, lessor offenses or similar matters (ethics disclosure matters). I have reported & fully disclosed to ACBSP all past & current ethics disclosure matters with my Certification Application or Certification Maintenance Registration. I will report & fully disclose any such future matters to the ACBSP™ within sixty (60) days of becoming aware or receiving notice of such matters. I further understand that full disclosure requires the submission of all related documents & materials related to ethics disclosure matters, & all materials required by the ACBSP™. I understand that my failure to satisfy these & related requirements may result in ineligibility for the ACBSP™ certification, or other appropriate action(s), consistent with the ACBSP™ policies & procedures.

I understand & agree that if the ACBSP™ determines that additional information &/or documents are required concerning my compliance with the ACBSP™ Policies, I will provide a complete & accurate response to the requirements in a timely manner. I understand & agree that my refusal or failure to provide proper responses to such information requirements may result in the issuance of sanctions by the ACBSP™.

I understand & agree that the ACBSP™ has the right to communicate with any person, government agency, business, or organization concerning the information I submit to the ACBSP™, including information related to the ACBSP™ certification. I agree to, & authorize, the release of any such information requested or required by the ACBSP™.

I understand & agree that all materials that I submit to the ACBSP™ become the property of the ACBSP™, & that the ACBSP™ is not required to return any of these materials to me.

I understand & agree that upon receipt of an ACBSP™ certification, all professional biographical data concerning me will be considered public information & may be made available to the public upon request.

I understand & agree that certification by the ACBSP™ does not imply licensure, registration, or government authorization to engage in any professional or business activities, including chiropractic sports medicine.

I understand & agree that information related to my participation in the ACBSP™ Certification Programs may be used in a confidential, limited manner for research purposes only.

I understand & agree that the contents of all the ACBSP™ examinations, examination information, & related test materials constitute confidential, proprietary, & private information & materials (ACBSP™ examination information), & the ACBSP™ owns & controls such examination information. I understand & agree that my possession & review of any ACBSP™ examination information is for the sole purpose of taking a certification examination, & that no other person, business, or organization has any license or permission to view, receive, or use any such information. I understand & agree that I am only permitted access to the ACBSP™ examination information for my personal, non-commercial use consistent with the ACBSP™ requirements & policies. I will not disclose, discuss, share, distribute, reproduce, or otherwise disclose the content of the ACBSP™ examination information & materials in any manner.

I understand & agree that all disputes relating in any way to my Certification Application, my certification(s), & any ACBSP™ examination will be resolved solely & exclusively by means of ACBSP™ policies, procedures, & rules, including the Certification Appeals Procedures. I understand & agree that the ACBSP™ retains the sole & exclusive right & discretion to interpret & apply such policies, & to issue & enforce related decisions & actions.

I represent & agree that the information I have provided to the ACBSP™ with respect to the ACBSP™ certification is accurate, complete, & current in all respects. I understand & agree that my submission to the ACBSP™ of any false, misleading, inaccurate, or incomplete information can result in discipline or sanctions related to my Certification Application, or certification(s), including ineligibility, suspension, or revocation.

I authorize the ACBSP™ to share, at its sole discretion, my name, examination score, pass/fail designation, aggregate data, and any additional information relating to my examination with the institution by which I completed my post-graduate training that qualified me for this examination.

I hereby release, discharge & indemnify the ACBSP™, its directors, officers, employees, attorneys, representatives, & agents from any & all actions, suits, obligations, damages, claims or demands whatsoever arising out of, or in connection with: the ACBSP™ certification; my professional, personal, & business activities; the ACBSP™ certification programs & activities; &, any actions taken by the ACBSP™.

By submitting this registration, I agree to each & all of the terms set forth above.