Acute Care CPNP Exam Application
and Supporting Documentation

For full details on the application process, review your CPNP-PC Eligibility Pathways.

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CPNP-AC Initial Exam Application: Pathway I and II

Apply online or submit a completed CPNP Acute Care Exam Application - Pathway I or II

CPNP-AC Initial Exam Documents: Pathway I and II

To review the purpose and proper submission of these forms, please refer to your eligibility requirements: Pathway I or Pathway II.

• Documentation of Education Form - To be signed and submitted by your program's designated signer(s).
• Transcripts - Arrange to have final transcript(s) sent from your institution. Full details on transcripts are available from your eligibility webpages: Pathway I or Pathway II.
• PALS Documentation - Please fax both sides of your current PALS card to 301-330-1504.

CPNP-AC Initial Exam Documents: Pathway II Only

To review the purpose and proper submission of these forms, please refer to Pathway II Eligibility Requirements.

• Skills Verification Forms - Two copies of this updated form must be signed by physician and/or NP colleagues. Previously submitted forms cannot be accepted.
• Pharmacology Update Evidence - Review your eligibility webpage for documentation options.
• Faculty Attestation Statement - If your transcript does not list separate Advanced Physiology & Pathophysiology and Advanced Health Assessment Courses, you will also need to submit this form signed by the PNP Program Director.

CPNP-AC Re-examine Application

To re-test, apply online or submit our paper CPNP-AC Re-examine Application.

Other Forms of Interest

• Verification of Eligibility to Sit

• Special Exam Accommodations Form

• Name Change Attestation Form