Set Up Your CPSS® Account

The one-time application fee for practice registration is $400.00.

As soon as we have processed your credit card information, you will receive a confirmation that your username and password have been activated. If you are not able to register online, please contact Customer Support or call 1-866-220-3184.

Fields marked with an (*) asterisk are required.

Practice Information

*Practice or ASC Name:
Specialty:
*Address 1:
Address 2:
*City:
*State:
*Zip Code:
*Telephone:
- -
Fax:
- -

Current ASOA Member

*Total # of employees in practice:    (A plaque will be given to practices when CPSS® certification reaches 20% of the total number of practice employees.)

I approve use of practice name/logo and participant names. (BSM Consulting® would like to honor your practice and graduates in a non-commercial way on our Participants Page and quarterly newsletter.)

How did you hear about CPSS?

If other, please specify:

Administrator's Information

Please provide the name and email of the person responsible for administering this program.
*First Name:
*Last Name:
*Email Address:

Please create a UNIQUE username and password to enter the site.

*Preferred Username:
*Preferred Password:

Note: Up to a maximum of 11 characters
*Retype Password:
*Please select a secret question:
*Secret Question Answer:
If you have a Discount Code, please enter it here:

Applicant's Information

By registering an applicant, you confirm they have met the eligibility requirements. You may add and pay for additional applicants at a later time on the Add Applicants website page. The cost is $75.00 per applicant.
+ Add Additional Applicant
*I agree to the CPSS® Online Service Agreement (Read Service Agreement)

Clear