Application Form
This document is available
in 1 downloadable format.
Application Form
(PDF-fill-in)
The application form is available as a fillable PDF file and may be filled out using your computer or printed as a blank form. Please note the form cannot be saved or submitted online; it is recommended that you complete the form in one sitting and print multiple copies for your records.
All forms must be printed and mailed to ABC at the following address:
American Board for Certification in Orthotics, Prosthetics, & Pedorthics
Department 34862
Alexandria, VA 22334-0862
The PDF file should load directly in your web browser when you click the link above, but if it doesn't, click the icon to the right to get the Adobe Acrobat PDF viewer plugin.
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