CNT Course Policies and Procedures

Thank you for your interest in the CCAOM Clean Needle Technique Course. Prior to registering, please review the following information. For questions not addressed here, see the Frequently Asked Questions page or contact the office.

Acceptance into a CNT Course:  Read thoroughly to understand the registration approval process. 

  1. After submitting an online registration request, you will receive an email with instructions to submit required  eligibility documentation. (More information about the full registration process coming soon!)
  2. If your documentation is complete and you are eligible for the course, you will receive an approval email (within about 1 week after your initial online registration request. If you don't receive an approval, contact the office
  3. The course content and additional information about how to prepare for the exams will appear in your CCAOM portal once your registration has been approved (login required).
  4. If you miss the written or practical exam on your registered date, rescheduling a retake will be necessary.  

    Candidate Demographic Information: Please keep your physical and email addresses updated in your CCAOM portal. Be sure that the name on your CNT course registration exactly matches the name on your photo ID. Note that this name will be used for your certificate of completion and all requested CNT verification. Be advised the reissuing of a certificate with a different version of your name, or replacing a certificate due to non-delivery, will incur an additional fee. 

    Certificate of Completion: Upon successful completion, candidates may state that they hold a certificate in Clean Needle Technique as administered by the CCAOM, but may not state that they are certified in acupuncture, Oriental medicine, or any other modality as a result of completion of the CNT course.  Candidates shall not use acronyms or subtitles after their names to reference the CNT certificate; neither will the CNT certificate include any acronyms or subtitles after candidates' names.  

    Challenging Written Exam Questions: Any questions or comments about exam content or administration must be submitted in writing to the CCAOM no later than seven business days after the course.

    • Examination Content: If you believe there is an error in a particular question or have comments about other specific aspects of exam content, submit your concern in writing to the CCAOM office within seven business days after the course date. Include your name, address, course date and location, and a description of the specific question you are concerned about.
    • Examination Administration Conditions: Should you experience any environmental difficulties during the administration of the exam, you are obligated to resolve your concern with the proctor or examiner during the administration of the exam.
    • Resolution of Complaint: The CCAOM will evaluate all complaints and issue a written response within 45 days of receipt of the complaint.
    • Appealing Examination Decisions: Candidates may appeal the response by sending written justification for the appeal. The CCAOM office must receive the appeal request within 30 days of the candidate’s receipt of CCAOM’s initial response. The CCAOM CNT Committee will review the appeal request and the candidate will be notified of the committee’s decision within 30 days after receipt of the appeal request.

    Confidentiality: All candidate CNT course records are permanently and securely maintained and verification is always available upon request. No information will be released without the express written authorization of the candidate. Payment information is not stored and all CCAOM systems and processes are PCI compliant.

    Disability Accommodations: The CCAOM provides equal access to the CNT course for individuals with disabilities and does not discriminate on the basis of disability or a serious medical condition. As required by law, reasonable accommodations will be made to ensure equal access for persons with disabilities without fundamentally altering the nature or learning objectives of the course. or lowering assessment standards. Individuals seeking accommodations are required to provide current documentation and request specific reasonable accommodations. To request an accommodation, the following documents must be uploaded during the online registration request process:

    1. Information pertaining to the disability or serious medical condition for which reasonable accommodation is being sought, including identification of the type of disability with an official diagnosis (physical, cognitive, psychological, learning or serious medical condition) from a qualified evaluator;
    2. Documentation of the disability from a professional, unrelated to the disabled individual, who is trained and qualified (i.e. certified and/or licensed) to evaluate/ diagnose/ assess the particular disability or health condition. These professionals include, but are not limited to, medical doctors, psychologists, audiologists, ophthalmologists, and educational diagnosticians. Documentation must include the letterhead of the professional providing the evaluation/ diagnosis and date of diagnosis/ assessment and the name, address, and qualifications of the professional;
    3. Information regarding the limitations imposed by the disability or serious medical condition;
    4. Information about the impact of the disability or serious medical condition on the individual's ability to perform the essential functions required in the CNT course;
    5. Information about previous reasonable accommodations in a higher education setting, if applicable;
    6. A statement outlining the specific reasonable accommodations the individual believes would be helpful in allowing him or her to perform the essential functions of the CNT course.

    Documentation should be submitted via the CNT Course Disability Accommodation Upload Form

    *Please note: CCAOM can only honor accommodation requests made at the time of initial course registration. 

    Dismissal for Reason: The CCAOM enforces a non-negotiable policy for immediate dismissal without refund from any CNT course session for reasons including, but not limited to:

    • Cheating on the Written or Practical Exams: All forms of cheating, including the use of electronic devices of any kind (such as translation devices, electronic eyewear, smart watches, etc.) are forbidden. 
    • Misrepresentation: Any misrepresentation of eligibility to take the CNT course will result in cancellation of registration. Photo identification is required for both written and practical exams, and identity misrepresentation will result in immediate dismissal. If the misrepresentation is discovered following course completion and certificate award, CCAOM will revoke the certificate and notify the course attendee and any entity to which CCAOM sent a CNT verification.
    • Taping/Photographing: Audio or video taping, recording or photography of any portion of the CCAOM CNT course is strictly prohibited without prior written permission. Any individual observed recording any portion of the CNT course in any format will be dismissed immediately and will not receive a refund.
    • Inappropriate behavior: Appropriate decorum is expected from all CNT candidates.  Online proctors and examiners are authorized to dismiss from the exam any candidate who is disruptive or otherwise behaves in an inappropriate manner.

    Exams: All course attendees must complete both an online live-proctored 50 multiple-choice question written exam and an online real-time practical exam, which consists of demonstrating proper needling technique based on verbal instructions.  Written exam results are typically emailed within 10 business days. Only candidates who pass the written exam will be allowed to register for the practical exam. 

    Fees: The fee for the English language online CNT course and written exam is $150. There is an additional fee of $50 for a foreign language written exam. The fee for the Chinese or Korean version of the online CNT course (with foreign language written exam included) is $200. There is also a $75 fee for the online examiner-administered practical exam, regardless of language requested. The retake fee is $75 for the written exam and $75 for the practical exam. 


    Language of Course /Exam  Fee
    English Course and Written Exam  $150
    English Course with Chinese or Korean Written Exam $200
    Chinese or Korean Course and Written Exam  $200
    Practical Exam (All Languages) $75 


    Foreign Language: Some states may require completion of the CNT course in English. Be sure to check your state's licensing requirements before registering. To receive credit for completing the CNT course in English, the course and both written and practical exams must be completed in English. Please select the preferred written exam language when registering online.  

    NCCAOM CNT Policy: Individuals seeking NCCAOM certification must have completed a CCAOM CNT course within the six years prior to their application date for NCCAOM certification. Otherwise, the CNT course must be re-taken, unless the applicant has held a continuous license to practice acupuncture within the last three years before applying to NCCAOM for certification. Please contact the NCCAOM for more information about this policy.

    Pass Rate: Historically, about 90% of all candidates pass the CNT course (including written and practical exams) on the first attempt. 

    Prerequisites: Current acupuncture school students (or those who are enrolled in an NCCAOM-approved or state-approved tutorial) are required to have at least begun a needling techniques course no later than the date of their CCAOM CNT course. 

    Switching Written or Practical Exam Dates: Please contact the office

    1. Check the CNT written or practical exam schedule on our website and choose a new date that has availability.
    2. Notify the CCAOM office by phone or email, specifying the desired new written or practical exam date. 
    3. A non-refundable switch fee of $50 must be paid before a new date is approved. The switch fee is reduced to $25 for requests received 15 or more days before the initial written or practical exam date. 
    4. Due to possible course content changes, switching to an exam date in a different calendar year may necessitate canceling your current enrollment and re-registering. 

    Withdrawing from a CNT Course: Please contact the office as soon as possible. Due to the online nature of the course, refunds are not offered. In the case of a documented illness or other emergency that impacts your ability to complete the online course and/or your scheduled written or practical exam, notify the office immediately.