Application for Certified Clinical Anesthesia Assistant credential

This application form is for the CSRT's Certified Clinical Anesthesia Assistant (CCAA) credential. To be eligible for this credential, individuals must have met the requirements outlined on the CSRT website (https://www.csrt.com/certifications/). 

Applicants will receive confirmation that their application has been received within 5 business days. Subsequent review of the application and communication of the outcome of the application will occur following this confirmation. Acceptance of this application does not constitute conferral of the CCAA credential.

REQUIRED

First Name(s)*

REQUIRED

Last Name(s)*

REQUIRED

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REQUIRED

Which of the following professional credentials do you possess?*




REQUIRED

An appropriate license of practice from a respiratory therapy, nursing or medical college is required for this certification unless you are working in a jurisdiction where your profession is not regulated. What is the name of your respiratory therapy, nursing or medical licensing body? (If you work in a jurisdiction where you are not required to be licensed, please type "not applicable".)*

REQUIRED

Are you aware of any licensing restrictions, terms, limitations or  conditions that will prevent you from practicing anesthesia assistance to the scope as defined in the National Competency Framework for Anesthesia Assistance? (Choose "not applicable" only if you work in a jurisdiction where your profession is not regulated.)*




REQUIRED

Did you challenge and pass the CSRT National AA Exam?*



REQUIRED

Individuals possessing the CSRT CCAA credential must commit to upholding the maintenance requirements for the credential. These are:*

  • ongoing membership in good standing with the CSRT
  • completion of 25 relevant continuing professional development credits each membership year
  • maintaining the appropriate license to practice
  • participation in the annual CCAA audit when selected. 

Do you commit to upholding these maintenance requirements for the CCAA credential?

 



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