Certified Anticoagulation Care Provider Application

***Do NOT use your browser's back button while completing the application.***

Application Instructions

Please read the instructions below before beginning your online application. Failure to follow instructions may result in a delay in processing your application. Incomplete applications will not be considered. If an application remains incomplete for more than 8 weeks, it will be discarded from the online system and you will need to begin a new application.

Before You Begin

  1. Review the complete CACP Candidate Handbook to verify that you meet the eligibility requirements and to review the application requirements.

  2. Prepare your written description of current activities pertaining to anticoagulation therapy management. Include your full name and date of birth at the top of the page. As described in the Candidate Handbook, the written description should be 500 words or fewer and should describe your general practice and experience specifically in antithrombotic therapy management. Duration and types of activities should be described, including number of patients, practice setting, management of clinic, your roles and responsibilities, and coworkers, etc. Paragraph format should be used; a resume or curriculum vitae will not suffice. When completing the online application, you will be asked to upload your practice description as either an MS Word (.doc) or pdf document. No other file types will be accepted. If your MS Word document was created in Word 2007 or later (i.e. has .docx extension), please save it with a .doc extension before uploading.

  3. Have your supervisor's work email address on hand.  When completing the online application, you will be asked to provide a work email address for your supervisor or medical director.  The NCBAP will contact your supervisor or medical director at the work email address provided to verify information you provide in your application.

  4. If you have a documented disability or qualifying temporary or permanent medical condition and would like to request special accommodations for the CACP exam in accordance with the Americans with Disabilities Act, prepare your written request before beginning the online application. See "Special Accommodations" below or refer to the CACP Candidate Handbook for a description of what must be included in your request. When completing the online application, you will be asked to upload your request as either an MS Word (.doc) or pdf document. No other file types will be accepted. If your MS Word document was created in Word 2007 or later (i.e. has .docx extension), please save it with a .doc extension before uploading.

  5. Have your credit or debit card ready so that you can remit payment upon completion of the application.

  6. You will be notified by email when your application is complete and has been submitted for review.  An application is not complete until all items have been received and filed with the application, including your supervisor verification.  You may speed up the processing of your application by uploading your professional license, government-issued photo ID, and signature statement (see "For Faster Processing" section below).

  7. You will receive an application decision notification email within approximately six weeks of the date you receive an email indicating that your application is complete and has been submitted for review.  If your application is approved, the approval email will contain instructions for scheduling your CACP exam.  You must schedule your exam to be taken at an approved testing site on an approved exam date and time within 6 months of your approval email. The NCBAP offers the CACP exam about 2-3 times per month. The number of examinees assigned to each exam date is limited to optimize system performance and ensure short wait times in the event that phone support is needed. Exam slots are filled on a first-come, first-served basis.  You may click here to view currently available exam dates and testing sites, but please note that exam date availability is subject to change.

For Faster Processing

If you have access to a scanner, you can speed up the processing of your application by scanning the following documents before beginning your application:

  1. Current US professional license
  2. Current government-issued photo ID
  3. Signature statement provided in the CACP Candidate Handbook

You have the option of sending these 3 documents by fax or email after completing the online application. However, you can speed up the processing of your application by uploading a copy of each document when completing your online application. If you have access to a scanner, please scan a copy of each document prior to beginning your application and save the scanned document to your hard drive. When completing the online application, you will be given an opportunity to upload each of these documents. The following file types are allowed: .pdf, .jpg, .gif, .tiff, .bmp

Special Accommodations

The NCBAP complies with the Americans with Disabilities Act and provides reasonable and appropriate accommodations for those with documented disabilities and for those with a qualifying medical condition that may be temporary. At least two exam dates per year will be scheduled at which the NCBAP will provide for special accommodations.

If you wish to request special accommodations, you must provide a written request when completing your online application. Your request must include:

  1. A description of the special accommodations you would like the NCBAP to provide you
  2. A description of your disability or medical condition
  3. Details of any special accommodations you have been granted on exams adminstered by other examination boards

When completing the online application, you will be asked to upload your request in either MS Word (.doc) or pdf format. No other file types will be accepted. Please include your full name and date of birth at the top of the page, and save your written request to your hard drive before beginning the online application.

Ready to Begin?

When you are ready to begin the application, please review the statements below and check the box next to any statement that applies to you. You may check zero, one, or more of the statements below. If none of the statements applies to you, leave all unchecked. Then click the "Begin Application" button.







Need help? Contact the NCBAP at info@ncbap.org or 866-963-2588.