Accreditation Council for Clinical Lipidology

"Being credentialed as a Clinical Lipid Specialist has allowed me to broaden my scope as a nurse practitioner. I now operate a lipid clinic within my practice two days per week. I receive referrals from other providers for the management of their complex dyslipidemic patients."

Click here for the Certification Guide

Debbie Friedrich, NP, MS
Clinical Lipid Specialist

Basic Competency in Clinical Lipidology Program

Exam Application

Instructions for Completing the Application Form

It is important that your application fields be completed carefully and accurately. The information you provide on this form and any accompanying documents will be used by the ACCL to determine your eligibility to sit for the examination. If accepted, your acknowledgement/confirmation letter and your examination results will be sent to the mailing address indicated on the application.
Type or print clearly in ink all information requested, except signatures.
Candidates with Social Security numbers are not required to disclose them on the application form other than on a voluntary basis. The numbers are useful as a secondary check in matching registration information to scores to ensure that they are reported correctly.
You are required to present copies of certificates of attendance for the CME/CE activities that you submit for points and the titles of the activities must be clearly identified. If the title of the session is not clearly related to lipids, we encourage you to submit a copy of the program or educational outline to assist with credentialing review. The Credentialing Committee will make the final determination on point assignments.
There is no application deadline. Please submit your application to the address below at least 3–4 weeks before you plan to sit for the examination. Once you submit your application please allow up to 2 weeks for processing. Upon approval of your application, you will receive an email providing instructions regarding selecting your exam date and location.

Accreditation Council for Clinical Lipidology
6816 Southpoint Parkway, Suite 1000
Jacksonville, FL 32216
(904) 309-6250 ● Fax: (904) 998-0855

Questions:

Phone: 904.309.6250
E-mail: tmackowiak@lipidspecialist.org

Registrant Info

Note: Your name and the degrees/credentials you provide on your application is what we will use to produce your certificate if you successfully pass the exam. Please list only those degrees/credentials you wish to be present on your certificate.

Application Status

First Name

Middle Name

Last Name

Degree(s)/Credential(s)

Date of Birth

Sex

Social Security Number(Optional)

Organization

Office Address 1:

Office Address 2:

City

State

Zip

Office Phone

Office Fax

E-Mail(required)

Home Address 1:

Home Address 2:

City

State

Zip

Home Phone

Home Fax

Send Mail To

Type Of Practice:

If Other Please Specify

Please explain in a few words how broadly you are involved in the field of clinical lipidology:

I request special accommodations for the following disabilities:

Eligibility Criteria

Applicants must have achieved a minimum of 10 continuing education credit hours in clinical lipidology in the previous 2 calendar years. We encourage applicants to satisfy this requirement by completing the National Lipid Association (NLA) Lipid Management Training Course ( www.lipid.org/education/courses/lmtc).However, credit hours may alternatively be obtained by completing Volume I of the NLA-SAP ( www.lipid.org/sap), the NLA Masters in Lipidology Advanced Training and Board Review Course (www.lipid.org/education/courses/masters), or other courses of study in clinical lipidology which have been designed for successful completion of this exam.

Payment Information

Exam Fees: $295

Re-Exam Fees: $200

* Note: If for any reason you do not meet the eligibility requirements, or if your cancel your examination (in writing), the examination fee will be refunded less a $120 processing fee.

Select the Card Type

Name as it appears on card

Card Number

Card CVV

Expiration Date

Educational Certificates

I will fax in educational certificates

I would like to attach educational certificates to this appliction

Authorization & Verification

I authorize the Accreditation Council for Clinical Lipidology to charge my credentialing and examination fees to my credit card listed.

By checking this box, I agree to the terms and conditions defined above

I hereby certify that the information furnished is true and correct and that the ACCL is authorized to investigate and verify any representation made on this application. I agree to have my name and contact information posted on the ACCL website, if I am successful in passing the examination.

By checking this box, I agree to the terms and conditions defined above

I hereby agree to allow ACCL to forward my exam results to my employer upon request

By checking this box, I agree to the terms and conditions defined above

Accreditation Council for Clinical Lipidology
6816 Southpoint Parkway, Suite 1000
Jacksonville, FL 32216
Phone: 904-309-6250 • Fax: 904-998-0855 • Email: tmackowiak@lipidspecialist.org