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 Registered Nurse Assistant at Surgery - Certified  (RNAS-C) Application
    Mail in the five Forms below to apply for the RNAS-C Exam (Forms only available in PDF):
  • RNAS-C Application Form
  • RNAS-C Code of Conduct Form
  • RNAS-C Release of Information Form
  • RNAS-C Facility Letter of Recommendation (notarized)
  • RNAS-C Surgeon Letter of Recommendation (signed)
  • IMPORTANT: In addition to the above Forms, send a copy of your Photo ID to us by EMAIL. Be sure to add a copy of proof of ‘Completion’ of a NASC approved RN First Assistant program.
  • If your Application to sit for the Exam, download the 'Arrange RNAS-C Test Center Form'

  • Note: If your graduation date from a NASC approved RNFA program reflects a date that is older than 2 years previous to your applying for the RNAS-C exam – it will be necessary for you to submit a ‘Surgical Log Form’ below, documenting having first assisted on at least 200 cases a year during the last 2 years along with all other documentation
  • Procedure Log Form
  • RNAS-C Recertification via Points
  • RNAS-C Recertification Point System                                                                                       pdf file
Assistant at Surgery - Certified (AS-C) Application
    Mail in the 5 Forms below to apply for the AS-C Exam (Forms only available in PDF):
  • AS-C Application Form
  •  
  • Code of Conduct Form
  • Release of Information Form
  • Facility Letter of Recommendation (notarized)
  • Surgeon Letter of Recommendation (signed)
  • IMPORTANT: In addition to the above Forms, send a copy of your Photo ID to us by EMAIL and then also along with your Application Form. Be sure to add a copy of proof of ‘Completion’ of a NASC approved Surgical Assistant program.
  • If your Application to sit for the Exam, download the 'Arrange AS-C Test Center Form'

  • Note: If your graduation date from a NASC approved program reflects a date that is older than 2 years previous to your applying for the AS-C exam – it will be necessary for you to submit a ‘Surgical Log Form’ below, documenting having first assisted on at least 200 cases a year during the last 2 years along with all other documentation
  • Surgical Procedure Log Form
  • AS-C Recertification via Points
  • AS-C Recertification Point System                                                                                               pdf file