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Three organizations have been approved to certify health professionals, not just CGFNS but also FCCPT and NBCOT. All three organizations are accountable to the Department of Homeland Security as detailed in section 343. There are criteria for approval of the organizations, a requirement for an annual report and also site visits. The organizations must apply for approval every 5 years. NCLEX is now given internationally that nurses do not need the CGFNS qualifying exam. Although the NCLEX is given in 11 sites internationally, it is the state board of nursing in the state of intended practice which determines if the nurse must have a certification program certificate from CGFNS. There are approximately 25 states which require the CP before they are eligible for an ATT. Other states may require the Credentials Evaluation Service Report as a pre requisite to licensure.

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