ACBSP™ 2024 Reactivation - American Chiropractic Board of Sports Physicians

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I hereby attest that I will comply with the requirements of the ACBSP™ Certification Maintenance & Continuing Education Policy (see policy at https://acbsp.com/certification/certification-maintenance) These requirements include payment of the annual certification maintenance fee ($135 if paid Nov - Jan 31 OR $160 if paid Feb - Jun 30) & the requirements listed in the following attestations (CPR certification, misconduct in sport training & annual CEU requirements).

Yes

No

I hereby attest that I currently have a healthcare provider level CPR certification in good standing OR will by December 31, 2024. You have until December 31st to complete this continuing education requirement.

Yes

No

I hereby attest that I currently have a "misconduct in sport" training certificate in good standing OR will have by December 31, 2024. The ACBSP requires certificants to demonstrate evidence of training to recognize, reduce and respond to all misconduct in sport (i.e. SafeSport or comparable program) every four (4) years as a requirement to maintain certification." You have until December 31st to complete this continuing education requirement.

Yes

No

I hereby attest that I have completed the required number of annual CEUs (12 for CCSP® OR 24 for DACBSP®) for the current year OR will by December 31, 2024. The ACBSP requirement is on an annual basis from January 1 - December 31. You have until December 31st to complete this continuing education requirement.

Yes

No

I hereby attest that I have read, understand and accept the ACBSP Certificant Agreement and Release Agreement.

Yes

No

I hereby attest that the personal email address I have provided on this registration form is a unique email address and not shared by any other ACBSP certificant. I understand that this email address will be used by the ACBSP to communicate important information regarding my certification to me. I also understand that this email address will be used to allow me access to vote in the annual board election assuming I maintain my certification and remain eligible to vote. If I make changes to my email address, it is my responsibility to notify the ACBSP National Office.

Yes

No

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2021 Reactivation fee ($160 + $50)

2022 Reactivation fee ($160 + $50)

2023 Reactivation fee ($160 + $50)

2024 Reactivation fee ($160 + $50)

Reactivation fee if inactive more than 4 years ($450 +$50)

Reactivation fee only ($50)

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