PA-C Retirement Form

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For NCCPA purposes, 'Retired' status indicates a PA’s voluntary decision to discontinue clinical practice and allow their board certification to lapse at the end of their current certification cycle.

Consent: By checking the box below, you confirm that you are the PA referenced above and agree to have your NCCPA record marked as retired.(Required)

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Did you know that retired PAs may qualify for PA-C Emeritus designation?
PA-C Emeritus® honors those who have demonstrated a longstanding commitment to
lifelong learning, patient care, and certification process. Click here to visit the PA-C Emeritus page for more information.