Checklist: ABCP Diplomate Transfer Candidates

The following is a list of items which must be completed and submitted by all candidates seeking the status of Diplomate, American Board of Craniofacial Pain:

  • A completed application, which includes all requested information and documentation.
  • Exhibit A: Patient List
    A list( not patient records)of one hundred (100) patients whose chief complaints included Craniofacial Pain of non-dental alveolar origin for whom you have completed all aspects of diagnosis and treatment. To insure privacy, the patient list documenting completed cases may include patients’ initials or another approved coded format.
  • Exhibit B: Continuing Education Credits
    A list totaling at least 500 hours of Craniofacial Pain related (eliminate quotations) continuing education credits which you have completed within the immediate ten (10) years prior to the date of submission of your written application.
  • Letters of recommendation/sponsorship obtained from two (2) current ABCP Diplomates, labeled clearly as Exhibit C and Exhibit D respectively.
  • Signed and notarized Diplomate Affidavit.
  • A letter of Diplomate affirmation from the American Board of Orofacial Pain (ABOP) confirming membership of good standing for year of 2017 or copy of ABOP 2017 dues statement with remitted payment.
  • A copy of your current dental license with expiration date. (If your dental license will expire before the examination date, a renewed copy of your dental license must be submitted to the ABCP by the application deadline.)
  • A completed Payment Form.
    Diplomate Transfer Applicants must enclose payment of $1,100.