THE AMERICAN BOARD OF PATHOLOGY
REPLACEMENT CERTIFICATE REQUEST FORM


The ABPath does not retain copies of certificates.
You may request a Replacement Certificate which will indicate that the certificate is a replacement and include the date of the replacement.

If more than one certificate needs to be replaced, please complete and submit a separate Replacement Certificate Request Form for each certificate,
along with a payment of $100.00 per certificate.

To request a replacement certificate:
  • Please submit the full name and either the last 4 digits of your social security number or the date of birth for each certificate request.
  • Please allow up to 30 days for processing to receive your Replacement Certificate due to the extensive engraving process.
  • Once this form is completed, please click the "Continue to the Payment page" button below to enter your payment information.


Replacement Certificate type

The primary certificate I wish to replace is:
The subspecialty certificate I wish to replace is:

Reason for requesting a Replacement Certificate

Name and Title Preference

Information on physician requesting the Replacement Certificate

Send Replacement Certificate to:

$