Forms

General

Emergency Withdrawal Request Form

Request for Testing Accommodations Form

View the complete list of items that do not require pre-approval as part of the accommodations request process.

To self-disclose a misconduct case to PTCB 

PTCB Misconduct Disclosure Checklist Form

To submit a conduct complaint against a PTCB certificant or candidate

Conduct Charge Statement

CPhT Certification

PTCE® Preparation Attestation Form

CSPT Certification

CSPT® Competency Attestation Form

Billing and Reimbursement Certificate

Supervisor Attestation Form for the PTCB Billing and Reimbursement Certificate Program

Medication History Certificate

Supervisor Attestation Form for the PTCB Medication History Certificate Program

Employers and Educators

CPhT-Recognized Training Program Attestation

Submit a help request for CSPT and Assessment-Based Certificates recognition inquiries. 

Item Writer Volunteers

Item Writing Volunteer Survey

 

 

Need more help?

If you need additional assistance after reviewing the information above, please submit a help request or contact us by phone at 800-363-8012. Our Customer Service team is available Monday through Friday, 9am to 9pm ET and Saturdays, 11:30am to 4pm ET.

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