Forms

General:

Request for Testing Accommodations Form

Emergency Withdrawal Request Form

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

To submit a conduct complaint against a PTCB certificant or candidate: 

Conduct Charge Statement