Online Recertification

ASPMA Recertification form

ASPMA Member Name *

ASPMA Member Number MUST put number in!!! *

Email address *

Personal Phone *

Work Phone *

APMA Podiatrist Name *

Mailing Address *

City *

State *

Zip Code *

What Certification are you recertifying

PMAC

PRAC

Must agree

Must submit correct credits & payment for Recertification for processing. If credits are not correct you wlill be cotacted.

Sign nameSign name

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File Upload

Maximum upload size: 67.11MB