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The initial application for certification must be accompanied by a check for $250. If approved to sit for the examination, the applicant must pay a $150 examination fee. Certification is effective for five years. At the end of five years, a board certified specialist must apply for recertification.

There is a $250 fee for recertification. The standards for recertification are similar to the standards for initial certification but no written examination is required.

Specialists also pay a $150 annual fee.