---
title: Certified Bariatric Nurse Application Form Template | Paperform
description: Professional CBN certification application template for bariatric nurses. Collect credentials, surgical experience, nutritional counseling competencies, and exam registration in one secure form.
url: "https://paperform.co/templates/certified-bariatric-nurse-cbn-application"
type: static
generatedAt: "2026-03-28T00:43:16.498Z"
---

[← Back to free form templates](/templates/)    ![Certified Bariatric Nurse (CBN) Application](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/certified-bariatric-nurse-cbn-application.png)
    [Preview](https://_preview.paperform.co/ai-template/certified-bariatric-nurse-cbn-application) [Use this template for free](/create?ai-template=certified-bariatric-nurse-cbn-application)    [Application Forms](/templates/category/applications/) [Healthcare](/templates/industry/healthcare/) [Nurse](/templates/role/nurse/)[Healthcare Administrator](/templates/role/healthcare-admin/)[Nutritionist](/templates/role/nutritionist/)     About this free form template
### Apply for Your Certified Bariatric Nurse (CBN) Certification

Pursuing certification as a Certified Bariatric Nurse demonstrates your commitment to specialized care for patients undergoing weight loss surgery and comprehensive bariatric treatment. This certification validates your expertise in pre-operative assessment, post-operative care, nutritional counseling, and long-term patient support throughout the bariatric journey.

Our **Certified Bariatric Nurse Application Form** streamlines the entire certification process, making it simple to submit your credentials, document your specialized experience, and register for the CBN examination—all in one secure, professional application.

#### Why use Paperform for certification applications?

Healthcare certification bodies, nursing associations, and professional credentialing organizations trust Paperform to manage high-stakes applications that require careful documentation, secure data handling, and smooth candidate experiences.

**Built for healthcare credentialing workflows:** This template is specifically designed for bariatric nursing certification, with conditional logic that adapts questions based on your experience level, education pathway, and specialty areas. Whether you're applying with direct bariatric experience or transferable surgical nursing credentials, the form guides you through the right requirements.

**Secure document collection:** Upload your RN license, proof of clinical hours, letters of recommendation, and continuing education certificates directly within the form. All submissions are encrypted and SOC 2 Type II compliant, meeting the security standards healthcare organizations require.

**Streamlined exam registration:** Combine credential verification with CBN exam registration in a single workflow. Candidates can select exam dates, testing locations, and pay registration fees through integrated Stripe, PayPal, or Square payment processing—no separate systems needed.

**Automated application processing:** Connect this form to **Stepper** (stepper.io) to automatically route applications for review, send confirmation emails with next steps, create applicant records in your database, and trigger credential verification workflows. This saves administrative teams hours of manual data entry and ensures every application moves through your review process consistently.

**Professional candidate experience:** The form's clean, healthcare-appropriate design presents your certification program professionally while remaining easy to navigate on any device. Use custom success messages to provide immediate next steps, study resources, or exam preparation guidance as soon as candidates submit.

#### Who benefits from this template?

**Nursing certification boards** offering specialized bariatric credentials can digitize their entire application and exam registration process, reducing paper applications and manual data handling while maintaining the rigor required for professional certification.

**Healthcare facilities** developing internal bariatric nursing competency programs can adapt this template to assess and credential nurses for specialized bariatric units, ensuring your team meets the demanding standards of accredited bariatric surgery centers.

**Professional nursing associations** can use this template to manage specialty certification tracks, collect membership dues alongside application fees, and maintain detailed records of each candidate's qualifications and continuing education.

**Bariatric surgery centers** seeking Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) accreditation can document nursing staff credentials and specialized training as part of compliance requirements.

#### Automate post-submission workflows with Stepper

Once a candidate submits their CBN application, **Stepper** can help you:

 - **Verify credentials automatically** by cross-referencing RN license numbers against state nursing board databases
 - **Send staged communications** including application received confirmations, document review updates, exam eligibility notices, and study resource emails
 - **Route applications for review** based on completeness, experience level, or red flags requiring additional documentation
 - **Update your certification management system** automatically with candidate information, avoiding duplicate data entry
 - **Trigger background checks** or reference verification processes for candidates who meet initial requirements
 - **Schedule exam appointments** by syncing with testing center calendars and sending candidates booking confirmations

For certification bodies managing hundreds of applications annually, these automations dramatically reduce administrative burden while ensuring every candidate receives timely, consistent communication.

#### Designed specifically for bariatric nursing certification

This template includes specialty-specific sections covering:

 - **Weight loss surgery experience** across multiple procedure types (gastric bypass, sleeve gastrectomy, adjustable gastric banding, duodenal switch)
 - **Nutritional counseling competencies** including pre-operative nutrition assessment, post-operative dietary progression, supplementation protocols, and long-term nutrition support
 - **Patient education expertise** covering lifestyle modification, behavior change counseling, and support group facilitation
 - **Clinical competencies** in post-operative complication recognition, medication management, psychosocial assessment, and interdisciplinary team collaboration
 - **Continuing education documentation** specific to bariatric nursing best practices and emerging evidence

The form intelligently adapts based on your responses, ensuring you only see questions relevant to your experience pathway while maintaining comprehensive documentation for certification reviewers.

#### Trusted by healthcare credentialing professionals

Healthcare organizations worldwide rely on Paperform to manage sensitive credentialing applications with the security, compliance, and professional presentation their programs demand. With SOC 2 Type II compliance, GDPR adherence, and robust data protection, you can confidently collect the detailed information required for professional certification while meeting healthcare privacy standards.

Whether you're a nursing certification board streamlining your application process, a bariatric center developing internal credentials, or a professional association expanding specialty certification offerings, this template provides the foundation for a modern, efficient, and secure certification application experience.

**Get started today** and transform your certification application process from paper-based confusion into a streamlined digital workflow that serves both your administrative team and the dedicated nurses pursuing advanced bariatric credentials.
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