The first part is a written examination given in each center in June. The second part is an oral and practical examination given to all eligible candidates in September or October at one central location in the United States. One fee is charged for both examinations. Those who pass the national board written and performance examinations receive a certificate of proficiency awarded by the American Orthoptic Council. The American Orthoptic Council sets qualifications for candidates, and regulates their training.
Certification is required for most hospital and institution positions.
After certification orthoptists may become members of the American Association of Certified Orthoptists. About 350 individuals are members of the American Association of Certified Orthoptists. The association encourages the development and exchange of new ideas and techniques. It also offers post-graduate instruction. To keep their certification, orthoptists must complete fifteen hours of approved continuing education a year.