Application

To download the application form Click Here


The American Association of Heart Failure Nurses (AAHFN) would like to thank you for your interest in our certification exam. Please be sure to read all of the eligibility requirements, review all of the application instructions and all of the other sections of the Certification Center thoroughly before starting to complete the application. The completed application must be submitted with the correct fees in order to be reviewed.


AAHFN is NOT responsible to contact candidates whose applications are incomplete. AAHFN will attempt to contact those with incomplete applications but it is ultimately the candidates’ responsibility to make sure their application is complete. Incomplete applications will still be charged the application processing fee of $50.00.


Please complete the application form with the name you wish to see on your certificate upon passing the exam. The address that you provide on the application is the address that your test results and certificate will be sent. There will be an additional charge if either of these documents (test results/certificate) needs to be re-sent.


Within 2-4 weeks of receiving your application, AAHFN will confirm if your application has been accepted. You are advised to keep a copy of your completed application for your records. AAHFN is not responsible for correspondence lost in the mail.


Select the type of exam:
Pen and paper exam at Annual Meeting
Thursday, June 27, 2013
Non-Members - $375

We are no longer accepting applications this quarter for the computer based testing. The next application window for computer based testing is June and July 2013.


Computer Based Testing at Test Centers
Non-Members - $450
 

General Information

First Name*

Middle Name

Last Name*

Former Name(s) if changed within past 5 years

Address*

City*

State/Province*

ZIP/Postal Code*

Country

Primary Phone Number*

Primary Email Address*



Note: Select atleast one from each Primary Settings below.



Primary work location:*


Hospital
Ambulatory clinic/practice
Home care
HMO/Insurance Company
College / University
Other:

Primary job role*


Staff nurse
Advanced Practice Nurse
Educator
Researcher
Other:

Primary job in heart failure*


Same as above
Staff nurse
Advanced Practice Nurse
Educator
Researcher
Other:

AAHFN-CB,
15000 Commerce Parkway,
Suite C Mount Laurel, NJ 08054

888.45.AAHFN / 888-452-2436

856.439.0525