AMIA Health Informatics Certification™ (AHIC™) Program - Certification Exam Retake Registration

Please complete this online form to register to retake the exam for the AMIA Health Informatics Certification™ (AHIC™) program.

Please note that the exam retake fee will be non-refundable under any circumstances once the registration is completed.

Questions about the exam retake process may be directed to certification@amia.org or +1-301-637-3757. One of our Certification Department team members will respond to your message within three business days.

Question Title

* Registrant's Contact Information and Mailing Address

Last Name / Surname / Family Name *

First Name / Given Name *

Street Address, line 1 (MAILING address of your current residence, where we will mail all AHIC-related hardcopy correspondence (e.g., certificates)) *

Street Address, line 2

City / Town *

State / Province / Region *

Postal Code (enter 00000 if you do not have a postal code) *

Email Address, to which you consent that we will send all AHIC-related communications, including your exam administration information, exam results, information about continuing professional development opportunities, and recertification notices *

Cellular Phone Number (include "+1" for USA and Canada or "+[countrycode]" elsewhere, as appropriate) *

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* Country of Mailing Address

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* What is your current ANNUAL salary, in USD? (This helps us measure the correlation between compensation and AHIC certification; we will keep your specific salary completely confidential.) Please enter your salary as a whole number. Please do not include USD, $, commas, decimals, etc.

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* Do you request special accommodations for administration of the AHIC exam due to documented disabilities in accordance with applicable law?

No, I do not request special accommodations.

Yes, I request special accommodations and will email (to certification@amia.org) my request form and supporting documentation in accordance with the policy stated in the AHIC Certification Guide.

To cover additional postage costs, there is a slightly higher AHIC exam fee for applicants residing outside the USA. Please note that we will mail all hardcopy correspondence (certificate, etc.) to the residence address that you provide in this application.

Current AHIC exam fees are published on the AMIA website at https://www.amia.org/amia-health-informatics-certification/FAQs. By submitting this application, you are authorizing us to charge your credit card for the correct AHIC exam fees that apply to you as of the date you submit this application, based on your answers to the questions on this application form (i.e., your residence address).

If you pay the rate for residents living in the USA but actually reside outside the USA and request for AMIA to mail your AHIC-related correspondence outside the USA, your AHIC-related correspondence will not be mailed outside the USA until you pay the USD 100 supplement to cover outside-the-USA postage costs.

AHIC exam fees are nonrefundable for any reason. Applicants are encouraged to ask us questions (via email to certification@amia.org or telephone at +1-301-637-3757) before submitting your registration if you are unsure whether you want to proceed.

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* Product Selection and Exam Fee Category / You:

Reside in the USA - $503 USD

Reside outside the USA - $603 USD

You will pay at the end of this survey.

Rescheduling / Cancellation Policy
If an AHIC candidate reschedules or cancels an AHIC exam appointment (directly through the Pearson website) at least three (3) calendar days before that candidate’s scheduled exam date, AMIA will apply the AHIC exam fee that candidate paid towards a subsequent AHIC exam administration within the candidate's six- (6-) month exam eligibility period.

If a candidate reschedules or cancels at least 3 calendar days before the candidate's scheduled exam appointment but does not reschedule a subsequent AHIC exam appointment within the candidate's 6-month exam eligibility period, the exam fee shall be forfeited in its entirety. To reschedule the exam, the candidate will need to pay the AHIC exam retake fee again.

Cancellations and rescheduling requests received less than three (3) calendar days before an AHIC candidate’s scheduled exam date (including if a candidate is a no-show at the scheduled exam appointment) shall result in a complete forfeiture of the exam fee, with no opportunity to defer the fee. To reschedule the exam, the candidate will need to pay the AHIC exam retake fee again.

Refund Policy
The exam fees are nonrefundable under any circumstances.

Question Title

* The American Medical Informatics Association is committed to promoting excellence and professionalism through the AMIA Health Informatics Certification (AHIC) program.

Do you affirm your commitment to upholding the highest standards of personal and professional behavior, and your commitment to comply with the AMIA Code of Professional and Ethical Conduct (https://doi.org/10.1093/jamia/ocy092)?

Yes

Thank you for submitting this registration for retaking the AHIC certification exam. Once you successfully complete your payment on the next screen, your registration will be submitted for processing.

Approximately 15 business days after you submit your complete, paid registration here, you will be provided with logistical details related to retaking the exam.

Thank you again for your participation in this important effort to enhance and promote the Health Informatics profession by establishing standards for professional practice.

By clicking "Done," I attest that the information I have provided on this registration is true, complete, and accurate, and I understand and acknowledge that my registration may be rejected and / or my subsequent certification may be invalidated if the information is found to be false, incomplete, or inaccurate. I further attest that I have read and understand the AHIC Certification Guide and agree to comply with the policies and procedures described therein. By submitting a registration, I consent to and authorize AMIA and its employees, credentialing management team, officers, directors, consultants, contractors, agents, volunteer leaders, and vendors to access and review my academic, employment, licensure, criminal, and regulatory records. Further, I agree to hold harmless, waive any and all legal claims against, release, and indemnify AMIA and its employees, credentialing management team, officers, directors, consultants, contractors, agents, volunteer leaders, and vendors, and the institutions releasing records or reporting their contents to AMIA and its employees, credentialing management team, officers, directors, consultants, contractors, agents, volunteer leaders, and vendors. I understand and agree that AMIA may use my personally identifying information and other data related to my certification application to market other products and services (such as, but not limited to: Preparatory resources, recertification, membership, educations, publications, and conferences) to me, now or in the future, unless and until I revoke this consent in writing to certification@amia.org.