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 2020. 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 60 multiple-choice question 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. CNT written exams are typically held the first or second Saturday and Sunday of each month, with two sessions available each day. Please see the "Upcoming Written Exam Dates" section below to see what dates and times are currently being offered for the next few months. 

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. Practical exams are typically held approximately one week after the written exam dates on various days and at various times for about two weeks. The schedule may vary slightly to accommodate holidays. Candidates do not need to take their practical exams immediately after completing the written exam, however as of January 1, 2023 all coursework and exams must be completed within one year of initial CNT registration. For more information, please visit our Policies and Procedures page


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

**Candidates registered as acupuncture assistants will be required to have a licensed acupuncturist present during their practical exam who will complete the needling portion of the exam.

Online CNT Course and Exam Fees

The fee for the English language online CNT course and written exam is $150. There is an additional fee of $50 for a foreign language written exam. The fee for the Chinese or Korean version of the online CNT course (with foreign language written exam included) is $200. There is also a $75 fee for the online examiner-administered practical exam, regardless of language requested. For eligible candidates, the retake fee is $75 for the written exam and $75 for the practical exam. 

Language Of Course / Exam   Fee
 English Course and Written Exam     $150
 English Course with Chinese or Korean Written Exam     $200
 Chinese or Korean Course and Written Exam     $200
 Practical Exam (all languages)       $75


CNT Course Technical Standards 

Completion of the Clean Needle Technique (CNT) program is also dependent on essential, non-academic abilities and characteristics that require a minimum physical and cognitive capacity.  Those essential abilities and characteristics are also known as technical standards. Candidates should download and review the CNT Course Technical Standards (link below) before enrolling in the course and exams. 

CLICK HERE to download and review the CNT Course Technical Standards (PDF)



Upcoming Written Exam Dates

All CNT Exams are scheduled in Eastern Time. Please keep this in mind when planning and scheduling your exams, especially if you are in a different time zone. 

October 2023:

  • 10/7/23 4:00 PM ET (English)
  • 10/7/23 7:00 PM ET (Chinese/Korean)
  • 10/8/2312:00 PM ET (English)
  • 10/8/23 4:00 PM ET (English)

November 2023:

  • 11/11/23 4:00 PM ET (English)
  • 11/11/23 7:00 PM ET (Chinese/Korean)
  • 11/12/2312:00 PM ET (English)
  • 11/12/23 4:00 PM ET (English)

December 2023:

  • 12/2/23 4:00 PM ET (English)
  • 12/2/23 7:00 PM ET (Chinese/Korean)
  • 12/3/23 12:00 PM ET (English)
  • 12/3/23 4:00 PM ET (English)


    NEXT: Review Minimum Technology Requirements


    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.