American Society for Clinical Pathology

Verify your clinical program or internship (if required)

Accredited/Approved Laboratories Accredited/approved by a governing regulatory association or Ministry. Countries without a prevalent system of accreditation/approval must have programs/educational institutions approved by an International Advisory Board appointed by the ASCP Board of Certification, or eligibility will be determined by transcript evaluation. Training programs which do not grant university credit as part of a Medical Laboratory program will be counted as experience

Download reference form below.

Reference forms must be completed by your program official (as defined in the eligibility requirements) and attached to a letter of authenticity signed by this individual verifying the authenticity of the form. This letter must be printed on original letterhead and state that the reference form was completed by the program official, with the date and signature. Reference forms will be audited to verify authenticity. To see a sample Letter of Authenticity, please click here.

Reference forms and Letters of Authenticity should be sent immediately after completion of the online application via mail, fax, or email to:

ASCP International
33 W. Monroe St., Suite 1600
Chicago, IL 60603-5617
Fax: +1 312.541.4845
ascpinternational@ascp.org

Please download the appropriate reference form. Refer to eligibility requirements (Step 1) for the route number.

  • A structured program reference form is not required if your eligibility route is not listed below.
  • A structured program reference form is not required if your program is included on your transcript.

International Medical Laboratory Technician, MLT(ASCPi)

International Medical Technologist, MT(ASCPi)

International Phlebotomy Technician, PBT(ASCPi)

  • Route 1
  • Route 3 You must submit a notarized copy of proof of completion/graduation from your nursing program; or a notarized copy of certificate of completion from the biomedical science program you completed along with your application form.

International Technologist in Molecular Pathology, MP(ASCPi)

From: 
Email:  
To: 
Email:  
Subject: 
Message: