NCLC Laser Certification Application Form

Please fill the form below

Certified Aesthetic Laser Operator (CLO/A)

Note: Candidate Qualifications for Laser Certifications are detailed in the NCLC Certification Handbook along with examination procedures. Please read this before completing an application to ensure your eligibility.

For clarification of any requirement please contact the NCLC at 305-407-8901 or info@LaserCertification.org. Ineligible applications will be returned less a $50 processing fee. Within approximately 2 weeks of receipt by the NCLC you will be notified of your eligibility. Once notified, you will have 90 days to schedule an examination at your convenience at any of 755 ETA centers or secured online testing worldwide, or the NCLC office or affiliates. If you fail to apply for an examination appointment within the 90 days you will be required to reapply and resubmit the application & testing fee. Upon successful completion you will receive your documents of Laser Certification within approximately 3 weeks from NCLC. See the handbook for more specifics.

* Please Note that when attending selected training courses of Professional Medical Education Assn or those of NCLC Associates or Affiliates, that you may complete your application through them and have them coordinate that with us.

(You should fax or email the NCLC “Case Log” to submit your cases. Use the Case log form available on our website. You do not have to meet the experience or case numbers prior to taking the examination if you have 24 hours or more of training. You may follow-up later with experience or case submissions. Read the Certification Handbook )
(Please send a copy of documentation)
(as listed in requirement 4 in the handbook – 24 hrs required – home-study portions count toward this) (Please submit a copy of your Certificates of Attendance showing the courses, sponsors, and educational hours. Those attending an affiliated training program where the NCLC test is administered may omit this – we’ll already have it on file)
Credit Card Payment: PLEASE GO TO OUR WEBSITE AND CLICK THE “PAYMENTS” LINK, FOR SECURE ONLINE PAYMENT In the Remarks section of that online payment form just indicate who you are and what the payment is for and we’ll associate it with this application form. You can then just scan and email back this application if you like. * Fees: Application Fee - $50, plus: Testing Fee - 1st time fee for CLO/A: $245 ($295 Total) Retesting fees - all exams: $120
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