APPLICATION FOR BOARD CERTIFICATION IN PEDIATRIC CLINICAL NEUROPSYCHOLOGY
Instructions: **DO NOT PRINT** This is a fillable document and spaces will expand and/or text will wrap as information is entered. If you encounter a field where you find a limit to the amount of text you may enter, please abbreviate as needed. Save this document as you work on it. When complete, you will be asked to upload it during the online Specialist Applicant Free Application
NOTE: To view and complete this form in its entirety you must change the document layout settings. To accomplish this in MS Word, go to the “View” tab and change the view from “Print Layout” to “Web Layout”.