Exam Application Form Application Form for any ABMP Exam I. Exam Applicant InformationName(Required) First M.I. Last Degree Email(Required) Enter Email Confirm Email Your e-mail address will be your point of contact for exam information. It will also be used to register you in the Exam Soft portal. Address(Required) Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country PhoneII(a). Education Information (Required for Part I and/or Part II exam)The applicant must have a graduate degree in Physics, Medical Physics, Health Physics, or related subject. An official transcript from the institution from which the degree was received must be sent to the ABMP. If the institution is external to the United States of America, a document of degree equivalence must also be sent. If the transcript is in a language other than English, it must be accompanied by an official English translation.Were any of your graduate program(s) accredited by CAMPEP? Yes (indicate this in your description below) No I don’t know For each graduate degree received, describe the degree received, institution, major, date conferred.II(b). Educational Document(s) – OPTIONALPlease describe what files you will upload. An official transcript of your relevant degree must be sent directly to the ABMP; however, you may upload any transcript files (max 4) for your application consideration.File Drop files here or Select files Max. file size: 10 MB, Max. files: 4. III. Professional Examinations Taken and PassedPlease indicate which exams you have taken (check all that apply).(Required) No other exams taken. ABMP exam ABHP exam ABR exam Other – please describe below ABMP exams PASSED ABMP Part I – General Medical Physics PASSED ABMP Part I – MR Science PASSED ABMP Part II – Medical Health Physics PASSED ABMP Part II – MRI Physics PASSED ABMP Part II – MRI for Radiation Therapy PASSED CERTIFIED by the ABMP ABHP exams PASSED ABHP Part I exam passed – upload proof of Passing CERTIFIED by ABHP – upload CHP certificate ABR exams PASSED ABR Part I exam – PASSED (Upload Proof of Pass) Certified by ABR – upload copy of ABR Certificate Please Describe any Additional Exams Taken and Passed:*If you have passed Part I (within the last 10 years) of the ABR, ABHP, or the CCPM exam, you may request PASS credit for the Part I ABMP exam. Upload your PASS letter here: Drop files here or Select files Max. file size: 10 MB, Max. files: 3. IV. Professional Clinical Experience (Required for Part II and/or Part III exam)Please describe your clinical experience. For each position, include the date range, institution, name of your supervisor, a description of your duties, and the average # of hours worked per weekV. Professional Endorsements (Required for Part II exams)Name of Board-Certified PHYSICIST First Last Degree Email Endorser is certified by: American Board of Medical Physics American Board of Radiology American Board of Health Physics Canadian College of Physicists in Medicine Other Name of Board-Certified PHYSICIAN First Last Degree Email Endorser is certified by: American Board of Radiology Other VI. For Part II MEDICAL HEALTH PHYSICS exam onlyAn additional part of the Application for the Part II Medical Health Physics exam is the MHP Attestation Form that is on the website. That should be filled out and uploaded here.FileMax. file size: 10 MB. For CHP PATHWAY applicants ONLY I am a CHP with a graduate degree and exceptional experience. VII. WAIVERAgreement between Applicant and American Board of Medical Physics, Inc.(Required) I agree with the Policy below.By checking the box above and entering my name below, I recognize the American Board of Medical Physics (ABMP), Inc., as the sole and only judge of my qualifications to sit for the examinations conducted by the ABMP. Furthermore, by checking the box above and entering my name below, I agree to hold harmless, individually and collectively, the Directors and Appointed Examiners of the ABMP for any decision or action pursuant to their duties in connection with this application, or for failure of the ABMP to issue me a certificate.Technology Agreement between Applicant and American Board of Medical Physics, Inc.(Required) I understand this requirement for the Parts I and II exams.By checking the box above, I attest that I understand that I must bring my own device to the venue in order to complete the Part I and/or Part II examinations. I agree that I alone bear the responsibility of ensuring that my device meets the Minimum System Requirements set forth by ExamSoft (a Turnitin company) and available on their website.Name(Required) First Last Date(Required) MM slash DD slash YYYY VIII. Exam Venues – Dates and Fee InformationThe ABMP is offering its written/online exams in Cape Town, South Africa, in conjunction with the ISMRM meeting. NO Part III exams will be given in Cape Town. All exam parts (I, II, and III) will be offered in Vancouver, British Columbia, Canada, in conjunction with the AAPM meeting (July 17 – 19, 2026). A third venue within the continental US will determined and the date published in the near future.Part I Exams offered at CAPE TOWN, SOUTH AFRICA (Saturday May 9, 2026)Not interested in these choicesPt I – General Medical PhysicsPt I – General Medical Physics [ISMRM member]Pt I – Magnetic Resonance SciencePt I – Magnetic Resonance Science [ISMRM member]Part II Exams offered at CAPE TOWN, SOUTH AFRICA (Saturday May 9, 2026)Not interested in these choicesPt II – MRI PhysicsPt II – MRI Physics [ISMRM member]Pt II – MR for Radiation TherapyPt II – Medical Health PhysicsPart I Exams offered at VANCOUVER, BRITISH COLUMBIA, CANADA (Fri Jul 17, 2026)Not interested in these choicesPt I – General Medical PhysicsPt I – General Medical Physics [ISMRM member]Pt I – Magnetic Resonance SciencePt I – Magnetic Resonance Science [ISMRM member]Part II Exams offered at VANCOUVER, BRITISH COLUMBIA, CANADA (Saturday, Jul 18, 2026)Not interested in these choicesPt II – MRI PhysicsPt II – MRI Physics [ISMRM member]Pt II – MR for Radiation TherapyPt II – Medical Health PhysicsPart III ORAL EXAMS offered at VANCOUVER, BRITISH COLUMBIA, CANADA (Fri Jul 17 – Sun Jul 19)Not interested in these choicesOral Exam – MRI PhysicsOral Exam – MRI Physics (conditional retake)Oral Exam – Medical Health PhysicsOral Exam – Medical Health Physics (conditional retake)Oral Exam – MR for Radiation TherapyOral Exam – MR for Radiation Therapy (conditional retake)I understand that preferred test date is not guaranteed, but I would like to have my exam scheduled on the following day: Friday July 17 Saturday July 18 Sunday July 19 Check here to indicate your interest in learning more about the Fall Venue for examinations. I am interested in finding out more about the 3rd exam venue, which will be held in the USA at later date in 2026. If you are an ISMRM member and wish to be considered for the $200 exam fee discount, please upload proof of current membership.Max. file size: 10 MB. Total Payment MethodPayPal Checkout American ExpressMasterCardVisaSupported Credit Cards: American Express, MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name CAPTCHA
