Re-Certification Application for Cardiovascular Nursing and ECG Board Certification Status
You may print and mail your completed re-certification application or if time is important, copy items 1-17 below and paste in the body of an email, fill in the information in your email, and send to our Exam Director Jonni Cooper at: jcooper17@tampabay.rr.com.
At the same time, copy and mail each of the CE/CME certificates you are claiming for re-certification (50 CME/CEs are required for Cardiovascular Nursing Re-certification, and 30 CME/CEs are required for all ECG Re-certifications).
Your re-certification letter will be emailed as soon as we receive proof of your CME/CE credits, your payment, and the answers to items 1-17 in this application.
You may pay for your re-certification online,
or you mail a personal check or money order with your completed application.
Recertification applications will be processed on Tuesdays and Fridays. The exam
offices are closed weekends, and major holidays.
For emailed re-certification applications, this process should not take more
than 3 business days to complete.
For mailed re-certification applications, this process should not take more than
5 business days to complete.
Fill in the information in items 1-17 below.
- Date of this application:
- Date of original certification and your expiration date:
- First name:
- Middle name:
- Last name:
-
Identify professional credentials you currently hold:
Example: Jack Jones, MD, RN, CVT, MT, etc. - License number:
- Home address:
- City:
- State:
- Zip:
- Home and work phone:
- Home email:
- Home and work email:
- Name of current employer:
- Address of current employer:
- Name of current supervisor:
1. CVRN Level I Re-certification Fee:
2. CVRN Level II Re-certification Fee
3. CVRN Level III Re-certification Fee:
4. Basic ECG Level Ia Re-certification Fee:
5. Basic ECG Level Ib Re-certification Fee:
6. 12-Lead ECG Re-certification Fee:
7. Emergency ECG Re-certification Fee:
8. Advanced ECG Re-certification Fee: Your recertification letter will be sent as soon as we receive three things:
1) your completed application
2) payment
3) supporting CME/CE certificate copies.
Direct questions to: jcooper17@tampabay.rr.com or call
(813)234-1033.
American Board of Cardiovascular Medicine
P.O. Box 3395, Riverview, FL 33568
Phone (813)234-1033
info@cvncertify.org
www.cvncertify.org
