(Limited Time Only)
Exams by Live Remote Proctoring – Begins April 23, 2020


Live Remote Proctoring is a secure and non-invasive platform that uses professional proctors and technology to monitor examinees live while they complete the certification exam.  This method of test delivery allows the examinee to take the certification exam from their home, office or a remote site, using their own computer.  The process is secure, easily accessible, and monitors testing activity and records all aspects of the exam session.   Candidates who would like to choose live remote proctoring will need to run a system and webcam test on the computer they plan to take the examination on to ensure it will meet remote proctoring requirements. If they meet requirements, they can move forward with scheduling Live Remote Proctoring.

Exam by Live Remote Proctoring – Preparation

Computer Specifications
Testing computers must have a detachable web camera, microphone and broadband internet access.   If the testing computer has a built-in web camera and cannot be moved to scan the entire room, candidates must have a 5"x 6" or larger handheld mirror that the virtual proctor can use to scan the testing room. 

Technical Requirements
The technical requirements for the proctoring process are below. You will not be able to use a tablet since tablets don't allow you to share your screen with a proctor. Here’s a list of what you need:

  • Laptop or desktop computer
  • Webcam, Microphone, and Speakers
  • Stable Broadband Internet Connection – Minimum 500 Kbps download and 256 Kbps upload; we recommend 5Mbps or higher upload and download
  • A wired connection is preferred over wireless (WIFI)
  • Current version of Google Chrome or some other Chromium-based browser is best
  • Flash player (for PC users)
  • Ability to download and install a small program: PSI’s secure web browser
  • Dual screens are not allowed
For PC users Windows 7, 8 and 10 are compatible.  For Mac users 10.12, 10.13 and 10.14 operating systems are needed.  Firefox and Chrome are supported for use on your PC but not Edge or Internet Explorer.  For Mac users Safari, Firefox or Chrome can be used. 

Testing the Computer: From the computer, you are going to use to take the exam, you must check to see if the computer is compatible for Live Remote Proctoring testing. If the computer is compatible, you can proceed to register to take an exam. If not, try another computer or consider taking the test at the Computer Testing Center (test is taken at a PSI/AMP center). 

If you have not already done so you can do a computer compatibility and webcam check now using the computer you plan to test on. 

Compatibility Test Link

Webcam Test Link

  • Environment

Candidates must be able to use the computer in a private room without interruption


  • The examination is administered by appointment only.  Examinations may be taken any day of the week, including Saturday and Sunday,24 hours a day. 
  • It is your responsibility to schedule the examination as soon as you receive your eligibility notice.  This must be done within the first 30 days of your eligibility window.
  • If you are unable to take the exam by Live Remote Proctoring, you will need to allow time to change to a computer test center, so it is critical you do not delay scheduling.  If you are unable to schedule at a computer center, you may have to pay a change fee to extend the eligibility window.
  • The specific starting and ending days are provided in your eligibility notification - you cannot finalize an appointment until you receive your eligibility notification. Eligibility letters are sent via email once your application is approved. It is the responsibility of the individual to ensure their email is current and accessible. It is recommended that you schedule your appointment as soon as possible. 
  • NCC has been approved to offer Live Remote Proctoring (LRP) during the COVID19 Pandemic.  NCC will have 60 days to remove the LRP method of testing as an option once notified by our accreditation organization NCCA. The 60-day date will end the option for LRP and if you have a remote proctoring exam scheduled it will be canceled and you will be required to schedule at a computer center.  If you are unable to schedule at a computer center you may have to pay a change fee to extend the eligibility window.
  • The availability of PSI Live Remote Proctoring (NCC's virtual testing vendor) for a specific time cannot be guaranteed. If you are unable to take the examination using LRP you will have to take the computer at a computer test center. Contact for scheduling your appointment will be on your eligibility letter. You may also schedule using the scheduling link on your NCC account page. 

    For those who are participating in the EFM LRP trial to provide data for the on-going use of LRP, you must register for the EFM exam before May 24, 2020, and schedule your exam between April 1, 2020, and May 28, 2020. When you schedule you will have the following options:
    • Test center
    • Remote Online Proctored Exam


  • On the day of your exam, please be at the location you plan to test up to 15 minutes early. (The room you will test in)
  • You will need to sign in to your NCC account at www.nccwebsite.org to initiate the exam launch process.
    • Once you have signed in click on the “Schedule Your Exam” link in your account and you will see a link to “Launch Exam”.  You will launch your exam here.
    • Follow instructions from this point and work with the proctor

Exam by Live Remote Proctoring – What to Expect

  • All candidates must report to the test portal by 15 minutes before the scheduled testing time. You can launch the exam platform within 30 minutes of your appointment time. A minimum of 15 minutes is needed for checking IDs, surveying the testing environment and going through the security measures & exam rules. 
  • Anyone not starting the exam within 15 minutes within the scheduled appointment time, automatically forfeits the examination appointment and the ability to test using Live Remote Proctoring. Applicants who are late or fail to take the test can file a Change Request Form with applicable fees and will need to take the exam at a computer test center. If you are unable to obtain a computer test center date within your eligibility window and already made one change request, you will no longer be eligible and will have to apply and pay an exam registration fee again.  There are no refunds.  
  • The time spent on the security measures and exam rules does not affect your testing time. You will have the full time allotted to take the exam.
  • For the screen-sharing connection during the exam, candidates must download a program, which connects the candidate's screen to the proctor. Once the candidate has connected their screen to the proctor, the proctor connects the two-way video and audio connection. Once the exam is over, the session expires, and the remote connection is no longer valid.  If you do not wish to complete the download, consider taking the test at a Computer Testing center (Tests are taken at a PSI/AMP center).
    • A small program file will download to your computer. Click the file to open it and select “Run” to install the program. If any pop-ups ask if you approve, click Yes or Okay.
    • A live proctor will connect with you via a chatbox. You’ll read the rules and sign off on them.

 Identification Process

  • Two forms of current ID are required and must be presented to the proctor before the exam starts; All identification presented must be current or unexpired and contain a signature. The first one must have a photo, and both must show candidates correct address. Candidates will not be allowed to test without proper ID. (Driver's License, State identity card (non-driver license), Passport, Passport card, Military ID, Green Card, Alien Registration, Permanent resident card, or National identification card). No forms of temporary identification will be accepted. The second form of identification must display your name and signature for signature verification (e.g. credit card with signature, social security card with signature, employment/student ID card with signature).
  • The proctor will confirm the candidate’s identification prior to starting the examination
  • The proctor will ask you to show your photo ID. Hold it up to the webcam to verify your identity.

Testing Environment and Process
You can schedule and launch your exam right from your home or office computer but must have a microphone, webcam, speakers and stable broadband internet.

  • The proctor will check to make sure your webcam and microphone are working properly, and that screen sharing has been activated. You will be asked to share your screen for all connected equipment.
  • The proctor will ask you to slowly move the webcam around the room to verify that you are alone and that your desk is clear of restricted items. If there are notes, drinks, a box of tissues or any such items on your desk, you will be asked to remove them prior to releasing the exam.
  • If you need assistance during your exam, you should initiate a chat with the online test administrator using the in-exam chat tool.
  • No conversing or any other form of communication is permitted once your exam has been released.
  • You are prohibited from reproducing, communicating or transmitting any test content in any form for any purpose. Copying or communicating content is a violation of PSI security policy. Either one may result in the disqualification of examination results, may lead to legal action and will be reported to your Licensing Authority/Sponsor.
  • The testing environment will be surveyed by the proctor prior to testing. The testing computer must be in a private room and be able to be used without interruption. A proctor will continuously monitor both the test taker and the testing environment.
  • No other people(i.e. guests, visitors, family members) or pets are allowed in the testing room.
  • The workspace must be cleared of all materials, including books, papers, dictionaries, other reference materials or personal items (e.g., purses, briefcases, coats).
  • No electronic devices(other than the computer being used to testare allowed in the room! This includes cell/smart phones, signaling devices such as pagers and alarms, cameras or other photographic or duplicating devices, personal digital assistants (PDAs), recording devices or other hand-held computers, tablets and digital music players (e.g., iPod & iPad).
  • All jewelry(i.e., watches, necklaces, pins) and hats must be removed from the room prior to the testing session.
  • Your launch button will be enabled when your exam is fully prepared for delivery.
  • You may not exit the camera view or use a cell phone or other electronic devices during the examination.
  • Your hands must be visible to the camera at all times. Talking or mouthing words while testing is prohibited.
  • PSI requires all employees and exam takers to conduct themselves in a professional and courteous manner at all times. Exhibiting abusive behavior towards a proctor via chat or other candidates will be reported to your Licensing Authority/Sponsor and may result in criminal prosecution.

Restrictions and Security

  • The computer screen, questions, and browser are monitored by the proctor throughout the exam process. All information displayed on the computer screen during testing (instructions, questions, etc.) is the property of NCC and may not be reproduced in any form.
  • No questions concerning the content of the examination may be asked during the test.
  • No breaks will be permitted during the testing time.
  • Core exams are 3 hours long and Subspecialty exams are 2 hours long.
  • If any non-approved items are observed on the workspace after the examination is started, you will be dismissed, the test administration will end, and all fees will be forfeited.
  • If testing has to be shut down for technical reasons related to the ability to use your computer or the WIFI, you will be required to reschedule at a computer test center (test is taken at a PSI/AMP testing center) and pay the additional fee. PSI requires a 4-day notice to reschedule.  If you are unable to reschedule for a computer center exam within your eligibility window you will have to submit a change request along with a $125.00 fee to obtain a new eligibility window. 
  • Any questionable behavior will be reviewed on the webcam, chat logs and audio from time of authentication through submission of the examination. All recordings are deleted after 30 days.


If a candidate is dismissed by the proctor, the test administration will end, and all fees will be forfeited. The proctor may dismiss a candidate from the examination for any of the following reasons: 

  • the candidate gives or receives help or is suspected of doing so
  • the candidate attempts to record test questions or to make notes
  • the candidate displays and/or uses electronic communications equipment such as pagers, cellular phones, PDAs
  • the candidate attempts to take the examination for someone else
  • the candidate is observed with personal belongings
  • the candidate is observed with notes, books or other aids without it being previously approved by NCC
  • any event that the proctor(s) deems as a compromise to the testing session

If a candidate engages in misconduct and is dismissed -- the exam score will not be reported, and examination fees will not be refunded.

Forfeiture of Fees

All fees will be forfeited by the candidate if the candidate engages in any of the above-listed violations and is dismissed from the test administration.

Violation of any of the listed provisions results in dismissal from the testing session and having the candidate’s results on the examination voided and examination fees not refunded.

Timed Examination

After the security measures have been completed and the rules have been reviewed, the examination will start. During the exam, the browser is secured with no ability to copy, paste, screen capture, access other sites, use instant messaging applications or run remote access/virtual machines.

Three (3) hours are allotted to complete the core examination
Two (2) hours are allotted to complete the subspecialty examination.

The virtual proctor monitors the time you spend on the examination. The examination will terminate if you exceed the time limit. You may click on the “Time” button in the lower right portion of the screen or select the TIME key to monitoring your time. A digital clock indicating the time remaining for you to complete the examination will appear. The time feature may also be turned off during the examination. Only one test item is presented at a time. The item number appears on the screen. The entire test item appears on-screen (i.e., stem and three options labeled A, B, and C). Indicate your choice by either entering the letter of the option you think is correct (A, B, or C) or clicking on the option using the mouse.  To change your answer, enter a different option by pressing the A, B, or C key or by clicking on the option using the mouse. You may change your answers as many times as you wish during the testing time limit.

To move to the next item, click on the forward arrow (>) in the lower right portion of the screen or select the NEXT key. This action will move you forward through the examination item by item. If you wish to review any item or items, click the backward arrow (<) or use the left arrow key to move backward through the examination.

A test item may be left unanswered and returned to later in the testing session. Items may also be bookmarked (flagged) for later review by clicking in the blank square to the right of the Time button. Click on the forward-pointing hand or select the NEXT key to advance to the next unanswered or bookmarked item on the examination. To identify all unanswered and bookmarked items, repeatedly click on the forward-pointing hand or press the NEXT key. When the examination is completed, the number of test items answered is reported. If not all items have been answered and there is time remaining, return to the examination and answer those items. Any unanswered question is considered a wrong answer. It is to your advantage to provide an answer for each test item before ending the examination.

Online comments may be provided for any item by clicking on the button displaying an exclamation point (!) to the left of the Time button. This opens a dialogue box where comments may be entered. Comments will be reviewed, but individual responses will not be provided. NOTE: The time to make comments will be counted toward the test time, and no comments are acceptable as answers.

Register to take a Certification Exam

Results Notification

  • Official results will be mailed from NCC within 15 days of exam administration (date of certification is based on the date on the official results NOT the exam date).
  • You are not certified until you receive your official results in the USPS mail.
  • Results are NOT available by phone or email but can be located in your account on the NCC website.

Third-party notification of pass/fail status will not be released without authorization from the candidate. A $30 fee is required for any third-party notification or issuance of duplicate pass/fail reports.  Such verifications will not be issued until written confirmation of pass/fail is made by NCC and the candidate is so notified.  Verification requests can only be made via the online verification system on the NCC website.  NCC no longer issues verifications via mail or fax.

Inclement Weather, Power Failure or Emergency
If you are unable to take your scheduled examination, due to inclement weather power failure or unforeseen emergencies, you may reschedule your exam ONCE at no charge by contacting PSI. This reschedule must occur within your 90-day testing window. If you have already used the one-time rescheduling option with PSI, then you will have to submit a "Change Request Form" (fees and restrictions apply). 

If power is temporarily interrupted during an administration, your examination will restart where you left off, and you may continue the examination.

Fees not Refunded
A candidate will not receive a refund, but may file a Change Request Form with applicable fees, for any of the following reasons:

  • Failure to log in to test portal (no-show)
  • Failure to call for an appointment within the first 30 days of the 90-day window
  • Login to the test portal too late
  • Failure to have proper ID or to meet any required rule

What Happens if You Can’t Take the Exam or Need to Make a Change?

LRP Exams must be canceled or rescheduled 48 hours before the scheduled appointment time. Failure to cancel or reschedule within this time will result in forfeiting exam fees.  (Please note test center exams must be canceled 4 days in advance).

Change your Testing Date, Method of Testing or Exam Category

Candidates who cannot take their currently scheduled examination, have missed their testing date or need to take a different exam - can request a change. Candidates may request to change their examination category, reschedule their testing date or even change their method of testing, provided that they meet the requirements listed below. Candidates are only allowed one change option (e.g. if you reschedule your examination date, you will not be able to change your examination category). All change requests must be approved by NCC, and you may be required to provide additional information. There will be no refund of original fees or Change Request Form fees. Candidates who fail to take the examination under this change option must re-apply with full fees.

In order to request a change, you must:

  • Submit the change request within one calendar year from the first day of your assigned testing window for computer candidates
  • Submit a non-refundable fee of $125 with the Change Request Form
  • Use the NCC website online Change Request Form (changes requested in any other format, will not be accepted)

Withdrawing Candidates

  • Only the applicant/candidate can withdraw from the examination process.
  • Candidates withdrawing from a core exam will receive a $160 refund of their $325 payment. Candidates withdrawing from a  subspecialty exam will receive a $105 refund of their $210 payment. (Minus any outstanding fees).
  • All withdrawal requests must be submitted online at the NCC website BEFORE the final day of the assigned testing window and provided that: --the candidate has not made an appointment to take the exam with PSI/AMP -- the candidate has made an appointment with PSI/AMP, an appointment must be canceled no later than four business days prior to the scheduled testing date.
  • Candidates who have previously submitted a Change Request Form (to change test mode, category or date of exam) CANNOT subsequently withdraw.
  • No refund will be considered after the exam date.


New candidate substitutions CANNOT BE MADE for ineligible, withdrawn or candidates who have submitted a Change Request Form.


All PSI/AMP testing centers are CLOSED on the following days:
New Years Day
Martin Luther King Day
Memorial Day
Independence Day (July 4)
Labor Day
Thanksgiving and the following Friday
Christmas Eve and Christmas Day

All exams EXCEPT for "Care of the Extremely Low Birth Weight Neonate" and Neonatal Neuro-Intensive Care" are available using Live Remote Proctoring.  The EFM exam LRP testing offering a second chance free is for those who register for the EFM exam before May 24, 2020, and take this exam by May 31, 2020.  Once the option to offer the exams by Live Remote Proctoring ends, you will be required to reschedule a Computer Center Examination. NCC suggests you schedule your exam by LRP early. You may test at a Computer Center any time during your 90-day eligibility window. 

NCC has been approved to offer Live Remote Proctoring (LRP) during the COVID19 Pandemic.  NCC will have 60 days to remove the LRP method of testing as an option once notified by our accreditation organization NCCA. The 60-day date will end the option for LRP and if you have a remote proctoring exam scheduled it will be canceled and you will be required to schedule at a computer center.  If you are unable to schedule at a computer center you may have to pay a change fee to extend the eligibility window.