NCCAOM^®

2001 K Street NW, 3rd Floor North,
Washington DC, 20006
Phone: 888-381-1140 | Fax: 202-381-1141

DUPLICATE CERTIFICATE AND ID CARD ORDER FORM

Name
First Middle Last
Credentials will be shipped to the Mailing address indicated on your NCCAOM Online Account.
Phone
Email
Diplomate ID#
Submit Reason for Duplicate Request
Order Details

Please select NCCAOM Certification you hold.
Product Name
I want Duplicate Credentials for
- Acupuncture Certification
- Oriental Medicine Certification
- Chinese Herbology Certification
- Asian Bodywork Therapy Certification
Order Total

You have to select at least one certification in order for the "Submit" button to become visible.
Online Credit Card Payment Information

To protect stakeholders, the NCCAOM only accepts credit card payment for services. Click "Submit" button below to submit this request. Once request has been received by the NCCAOM, an invoice will be created in your secure NCCAOM Online Portal, at which time you will be notified to enter your portal and apply the credit card payment. Your request will begin processing once payment is complete.

Questions: Email: [email protected] or Call: 888-381-1140