CNT Online Course Overview

Successful completion of the Council's Clean Needle Technique (CNT) course is one of the requirements for certification by the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM), as well as a licensing requirement in most states.

Administered by the Council as a one-day in-person class format since 1990, the COVID-19 pandemic required suspension of the Council's in-person CNT classes, beginning in March. In response, the Council approved a proposal to transition the CNT course to a fully-online format and the redevelopment team worked tirelessly to complete the initiative as quickly as possible. 

Online CNT Course Format

The online course will be completed in three parts:


Part 1: Self-Paced Online Course Modules and CNT Manual Study

After registering and being approved for the course and written exam, candidates will access the CNT course content through their online portal. The online course features a series of self-paced online video lecture modules and quizzes which must all be completed prior to the date of the written exam. Exam preparation should also include at least 15 hours of reading and studying the CNT Manual in addition to completing the online modules. 

Part 2: Live-Proctored Online Written Exam

Following completion of all modules, a live-proctored online written exam will be administered. When registering for the course, candidates will select their preferred date and time of their written exam. This is not the date of the course, as all coursework must be completed independently by the candidate prior to the exam date.

Part 3: Online Practical Exam

After passing the written exam, candidates will register for and complete a 1-on-1 online practical exam that will be administered by an experienced Council examiner.

NOTE: The number of available exam dates for both the written and practical exams will be limited, based on proctor and examiner availability.


Before registering, please spend some time reviewing important information about the CNT course using the links in the menu located on the left-hand side of this page.

IMPORTANT: The CNT Review Course: Acupuncture Safety course is NOT a substitute for the CNT online course. The CNT Review Course can only be used for California board and/or NCCAOM professional development/continuing education credits.


**If you are completing the CNT Course for the NCCAOM's Certification Route for California Licensed Acupuncturists, please visit the NCCAOM's website for more information about application deadlines to ensure you finish the course in time.**


Ready to register for the CNT Course? CLICK HERE!