AFCNA Foot Care Certification

Certification Requirements


  1. Proof of completion of at least 25 CEs in programs directly related to Foot Care
    completed within the 24 month period prior to application.

  2. Proof of completion of 20 hours of direct Hands-on foot care with a qualified Proctor.
    (see instructions for details) This must be conducted within the 24-month period prior to application.

  3. Current Nursing or Physical Therpy licensure verification, 

  • You are not limited in the programs that you choose to fulfill the Lecture and Hands-on Foot Care Training requirements.
  • There is a partial list of available foot care education programs on the "Forms & Resources" tab.
  • Any Lecture program that awards Continuing Education Credits and any qualified Hands-on proctor is acceptable.

Continuing Education (CE) Requirements

Twenty-five (25) hours of CE education.  There is a "Continuing Education Verification Form" which must be completed. The CE Certificates from each program must be attached to the Verification Form. Programs must have been completed within 24 months prior to the date of Application. 

Program topics must be relevant to the foot and lower extremity.

Examples of acceptable topics:

  • Anatomy & physiology of the foot and lower extremity
  • Physical examination of the foot and lower extremity
  • Lower Extremity Neuro, Vascular, Derm and Musculoskeletal physical         
       exam findings and treatment options
  • Common foot pathologies: How to diagnose and treat
  • Wound Care
  • Infection control & cross-contamination
  • Patient education regarding diabetic and "high risk" foot care
    Other CE programs relevant to care of the feet and lower extremty

Programs formats can include:

  • Live seminars/presentations
  • Video (previously recorded) lectures
  • On-line and  Distance Learning Programs

All programs must qualify to award Nursing Continuing Education (CE).

You must attach a copy of your CE Certificate of Completion with your Application Package. 

Hands-on / Practical  Foot Care Training

Twenty (20) hours of proctored Hands-on training is required when applying for the CFCS Certification.

The Applicant must complete twenty hours of proctored hands-on nail and callus care.  The Proctor
must be a Podiatrist,  a Certified Foot Care Nurse (CFCN) or a Certified Foot Care Specialist (CFCS).  
You may also be proctored by an Advanced Practice Nurse, MD or DO if they have had specific foot
care training and are qualified in this sub-specialty.

This experience is hands-on by the applicant.  It should be supervised by the Proctor but the Applicant
must personally perform the foot care on the patient/client.

The Podiatrist, CFCN or CFCS must complete the "Preceptor/Proctor Verification Form"  and provide the
original to the Applicant upon completion. Applicant will be required to submit the Verification Form
with their application. The required form is available for download.

All of this information can be downloaded:  CLICK HERE

Or cut and paste the following link into your browser:

Successful Completion of Examination

**Upon Review and Acceptance of Application Package you will
receive an email with on-line testing instructions.

*  Complete the CFCS Competency Exam on-line with a passing score is 70% or better.
     Testing failure: If you should fail your exam, there will be an additional charge of $50.00 to retake the Exam. 
     You will have 3 opportunities to re-take and pass the Exam for the additional $50.00 fee

*  The test is time limited and must be completed within 120 minutes

*  Upon passing, you will be able to immediately download your Certificate

*  You can immediately use the credentials CFCS after your name and other
    medical credentials

*  A Formal, numbered Certificate will be mailed to you

*  CFCS certification is valid for five years.
    (see Re-certification Requirements for maintaining your certification thereafter.)



    ***Click any of the links below for more information:

    Objectives & Practice Standards

    Application Process

    Examination Contents

    Forms & Resources

    CFCN to CFCS!!


    American Foot Care Nurses Association
    4 - 168th Ave NE    Bellevue, WA 98008-4538
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