CERTIFICATION & RECERTIFICATION

SSIPM IDSP Recertification

Applications for recertification of the Interdisciplinary Specialist Diploma (IDSP) SSIPM must be submitted exclusively using the online form below. By completing the form, the applicant confirms that the requirements for recertification of the Interdisciplinary Specialist Diploma in Interventional Pain Therapy SSIPM according to the 2023 training program have been met.

MANDATORY ATTACHMENTS

What you need to prepare for recertification

Official form with procedures from the last 5 years, a description of quality controls, and a list of completed continuing education courses

Certificates of attendance for all continuing education courses listed on the form (in a single PDF document)

List of completed continuing education courses

PDF document

ONLINE FORM

Application for IDSP SSIPM Recertification

Personal Details

Title *

Academic Title *

First Name *

Last Name*

Date of Birth *

Preferred Contact *

Private

Practice, Hospital, Institute

Private Address

Street *

Postal Code*

City*

Mobile Number*

Email Address *

Practice / Hospital / Institute

Name of Practice/Institute/Hospital *

Position

Street *

Postal Code*

City*

Phone Number (direct) *

Email Address *

Upload Documents

Completed Recertification Form *

Upload file (PDF, max. 10 MB)

Certificates of Attendance *

Upload file (PDF, max. 10 MB)

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