CCPs complete and retain the following form as needed in order to document self-study, Category III continuing education activities for ABCP audits. Learn more
Category III Documentation
|Download||(Form 6d) Activity Review Report (doc-version)|
|Download||(Form 6p) Activity Review Report (pdf-version)|
a free copy of Adobe Acrobat Reader DC as needed.
All regular recertification reports must be submitted through the Online Filing System.
Access the Online Filing System.
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.
|Download||(Form 7d) Clinical Activity Report (doc-version)|
|Download||(Form 8d) Professional Activity Report (doc-version)|
*Conditional Certification and Extended Leave
|Download||(Form 9p) Policy|
|Download||(Form 10d) Clinical Case Report (doc-version)|
|Download||(Form 11d) Clinical Activity Report (doc-version)|
*Download and complete the doc-version of a form with MS Word. E-mail the completed document as an attachment to firstname.lastname@example.org.
*Complete and submit the web-version of a form with Adobe Acrobat Reader DC.