EPIC Diploma Exam Retake / Eligibility Extension Form

Please complete this online form to register to retake the EPIC Diploma exam (Part 1 or Part 2) or to extend your eligibility to take the exam (Part 1 or Part 2) for another year--at a significantly reduced fee compared to the initial Exam Fee.

Within fifteen business days after your payment is successfully processed, you will receive an updated Authorization to Test (ATT) Notice with instructions explaining how to schedule your exam appointment.

Please note that the Exam Retake Fee and Exam Eligibility Extension Fee are non-refundable under any circumstances. If you have any questions before completing your purchase, please email epic@espnic-online.org or call +41 22 560 7401. One of our Credentialing Department team members will respond to your message within three business days.

Question Title

* Customer's Contact Information

Surname / Family Name / Last Name *

Given Name / First Name *

Street Address, line 1 (mailing address of your current residence) *

Street Address, line 2

City / Town *

State / Province / Region

Postal Code *

Email Address, to which you consent that we will send all EPIC Diploma-related communications *

Cellular Phone Number (include "+[countrycode]") *

Question Title

* Country in which you are currently working and residing

The Part 1 Exam Retake Fee is EUR 444.

The Part 2 Exam Retake Fee is EUR 439.

The Parts 1 & 2 Exam Retake Fee is EUR 794.

The Part 1 Exam Eligibility Extension Fee is EUR 444.

The Part 2 Exam Eligibility Extension Fee is EUR 439.

The Parts 1 & 2 Exam Eligibility Extension Fee is EUR 794.

By submitting this order form, you are authorizing us to charge your credit card for the applicable fees as of the date you submit this form, based on your answer to the question on this form (whether you are purchasing the Exam Retake Fee or the Exam Eligibility Extension Fee, and whether you are purchasing Part 1 only, Part 2 only, or both Part 1 and Part 2).

EPIC Diploma Exam Retake Fees and Exam Eligibility Extension Fees are nonrefundable under any circumstances. Customers are encouraged to ask us questions (via email to epic@espnic-online.org or telephone at +41 22 560 7401) before submitting this form if you are unsure whether you want to purchase an exam retake or exam eligibility extension.

Question Title

* Are you registering to retake the exam or extend your exam eligibility--and for Part 1 or Part 2, or both?

I am registering to retake the Part 1 exam and authorize payment of the Part 1 Exam Retake Fee - €444

I am registering to retake the Part 2 exam and authorize payment of the Part 2 Exam Retake Fee - €439

I am registering to retake the Part 1 exam and Part 2 exam and authorize payment of the Parts 1 & 2 Exam Retake Fee - €794

I am registering to extend my eligibility to take the Part 1 exam and authorize payment of the Part 1 Exam Eligibility Extension Fee - €444

I am registering to extend my eligibility to take the Part 2 exam and authorize payment of the Part 2 Exam Eligibility Extension Fee - €439

I am registering to extend my eligibility to take the Part 1 exam and Part 2 exam and authorize payment of the Parts 1 & 2 Exam Eligibility Extension Fee - €794

You will pay at the end of this survey.

Question Title

* Please upload an image (scan or photo) of your currently valid (NOT expired and NOT restricted or revoked) medical license.

If you have multiple currently valid medical licenses, please combine them in a PDF binder and upload one single file here.

(PDF, PNG, JPG, JPEG, and GIF files up to 16MB are supported.)

PDF, PNG, JPG, JPEG, GIF file types only.

Choose File

That's it! Within 15 business days after you successful submit your payment on the next screen, we will send you a new Authorization to Test (ATT) Notice with exam scheduling instructions. Thank you for your continued interest in earning the EPIC Diploma.