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ABCN Exam Application


(Including formal training in Neurophysiology)
 Hospital Name/LocationDatesSpecialty
Year 1
Year 2
Year 3
Year 4
Year 5
Current hospital/university positions:
In which states(s) do you have a current medical license?



I hereby declare that the facts in this application are true, and I agree to abide by the rules of the American Board of Clinical Neurophysiology, Inc. governing its examinations. I understand and agree that any misrepresentation of said facts or violation of any of said rules will result in automatic disqualification, or revocation of the Certificate, and I further agree to hold the American Board of Clinical Neurophysiology, its officers, members and agents and any of them harmless from any claim for damages as a result of any action, it, they or any of them may take in connection with this application, the examination, the result thereof and the failure to issue, or the revocation of a certificate.

ABCN requires a one-time application fee. If you have applied for a previous ABCN exam and have already paid the application fee, please bypass this fee and select your exam(s).
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