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Fax Postal Code Email List any addresses where the Applicant carries on the business of providing the services of naturopathic medicine. I hold a valid College certification in Prescriptive Authority. I have completed a course in NCLS or ACLS within the past two years and attach a copy of my course completion certificate. Applicant s Signature Yes No Date Applied yyyy/mm/dd FOR OFFICE USE ONLY Full registrant Rx authority date ACLS / NCLS Evidence of Course completion Signature Date...
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Step 8: Follow up with the certification authority for any additional information or documentation if requested
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Step 9: Once approved, receive your certification
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