Card Request/Name Change Forms

Name Change

If you’ve changed your name and you’ve taken an examination through the National Board of Surgical Technology and Surgical Assisting (NBSTSA), follow the steps below to update your name in our records:

What you need to do:

  • Login to your account: Use the Login button in the upper-right menu, then go to Maintenance Applications and click Begin to start your name-change request. You can securely upload your supporting documents directly through the portal.
  • Submit one of the following legal proof documents showing your new name:
    • Marriage certificate
    • Divorce decree (only the page showing the name change and official seal)
    • Driver’s license
    • Passport
    • Court order or naturalization documentation
       

There is no fee for updating your name in our database.

Additional Information:

  • If you currently have an open Authorization to Test (ATT) period, please let us know so we can notify the testing company of your name change. If your name on the documents and on file do not match, you WILL be prevented from entering the examination.
  • If you’re also submitting an Examination or Renewal Application at the same time, you may skip the separate Name Change form and simply include one of the required legal documents with your application.

Replacement Certificate or Card

Optional Wallet Card Available

While NBSTSA no longer mails printed certificates, you may now purchase an official wallet card that includes your certification number and current cycle dates. This convenient card can be used as proof of your active credential.

Wallet card pricing:

  • $25 for standard purchase
  • Complimentary for individuals sitting for an exam
  • $10 for individuals completing their renewal by CE credits

Print Your Own Certificate Now

You may print a new copy of your certificate free of charge at any time by logging in to your profile through the Login button. After logging in, click My Account at the top of the page to print an official copy of your certificate directly from your profile.

Verify Your Certification
If you do not wish to purchase a wallet card but need to confirm your certification, you may verify your credential by clicking the link below:

Click here to verify certification

You may also use the link above to print an official verification letter for your employer.