---
title: Certified Dialysis Technician Application Form Template | Paperform
description: Professional CDT certification application form template with hemodialysis training verification, patient care hours tracking, and exam registration. Streamline your dialysis technician certification process.
url: "https://paperform.co/templates/certified-dialysis-technician-cdt-application"
type: static
generatedAt: "2026-03-28T00:43:16.633Z"
---

[← Back to free form templates](/templates/)    ![Certified Dialysis Technician (CDT) Application](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/certified-dialysis-technician-cdt-application.png)
    [Preview](https://_preview.paperform.co/ai-template/certified-dialysis-technician-cdt-application) [Use this template for free](/create?ai-template=certified-dialysis-technician-cdt-application)    [Application Forms](/templates/category/applications/) [Healthcare](/templates/industry/healthcare/)[Education](/templates/industry/education/) [Technician](/templates/role/technician/)[Healthcare Administrator](/templates/role/healthcare-admin/)[Medical Assistant](/templates/role/medical-assistant/)     About this free form template
### Apply for Your Certified Dialysis Technician (CDT) Certification

The Certified Dialysis Technician (CDT) credential is an essential professional certification for dialysis care professionals who want to demonstrate their expertise in hemodialysis treatment and patient care. This comprehensive CDT application form streamlines the certification process by collecting all required documentation, training records, and clinical experience verification in one secure, professional submission.

#### Why Use Paperform for Healthcare Certification Applications?

Healthcare professionals and certification bodies trust Paperform to handle sensitive application data with **SOC 2 Type II compliance and GDPR adherence**. For dialysis training programs, healthcare facilities, and certification organizations, this template provides a complete solution for processing CDT applications efficiently and securely.

##### Built for Healthcare Training Programs and Certification Bodies

Whether you're a dialysis training academy, nephrology department, or professional certification organization, this template handles the complex requirements of CDT certification applications. The form captures:

 - **Training completion verification** with program details and completion dates
 - **Clinical experience documentation** including supervised patient care hours
 - **Hemodialysis competency tracking** across core technical skills
 - **Exam registration details** for CDT examination scheduling
 - **Professional background** and employment history in dialysis care

The doc-style editor makes it simple to customize questions for your specific certification requirements, add your organization's branding, and adjust conditional logic based on applicant qualifications.

##### Streamline Multi-Step Application Workflows with Stepper

CDT certification involves multiple verification steps—from training program confirmation to clinical supervisor sign-off to exam scheduling. Using [Stepper](https://stepper.io), Paperform's AI-native workflow builder, you can automate the entire certification journey:

 - **Route applications** to training coordinators for transcript verification
 - **Send verification requests** to clinical supervisors automatically
 - **Update your certification database** in Airtable or Google Sheets as applications progress
 - **Trigger exam scheduling emails** when all requirements are verified
 - **Notify applicants** at each stage with personalized status updates

This automation eliminates manual tracking and ensures no application falls through the cracks, letting your certification team focus on quality review rather than administrative follow-up.

##### Secure Payment Collection for Application and Exam Fees

The built-in **Stripe, PayPal, and Square integration** lets you collect application fees, exam registration fees, and processing charges directly within the form. Set up tiered pricing for early registration discounts, member vs. non-member rates, or bundled exam preparation materials—all with real-time calculations that update as applicants select their options.

##### Digital Signatures with Papersign

Certification applications require signed attestations, verification statements, and ethical agreements. With [Papersign](https://papersign.com), you can automatically convert each submission into a certification agreement for the applicant's eSignature, as well as route verification documents to clinical supervisors or training program directors. Everything stays linked to the original application for a complete, auditable record.

##### Designed for Dialysis Professionals and Healthcare Administrators

This template is ideal for:

 - **Dialysis training programs** processing graduate certification applications
 - **Nephrology departments** supporting technician professional development
 - **Certification bodies** managing CDT credential applications
 - **Healthcare facilities** coordinating staff certification tracking
 - **Professional development coordinators** overseeing dialysis technician advancement

With conditional logic, the form adapts to each applicant's pathway—whether they completed training through an accredited program, on-the-job training, or a combination of both. It automatically shows relevant questions about training hours, clinical rotations, and competency verification based on their selected pathway.

##### Integration with Your Healthcare Systems

Connect this form to your existing tools without coding. Send applications to your **CRM for applicant tracking**, log submissions in **Google Sheets for certification management**, update **Airtable databases** with verification status, or ping **Slack** when new applications require review. Through Stepper, Zapier, or webhooks, you can keep your entire certification workflow connected and synchronized.

##### Professional, On-Brand Experience

First impressions matter when candidates are applying for professional credentials. Paperform's flexible design options let you create an application experience that reflects your organization's professionalism. Add your logo, use your brand colors, include reassuring messaging about data security, and embed the form directly on your certification website or send it as a standalone branded link.

The optional **Guided Mode** takes applicants through the certification requirements one section at a time, reducing overwhelm and improving completion rates for this detailed application process.

#### Trusted by Healthcare Organizations Nationwide

Over 500,000 teams worldwide trust Paperform for secure data collection, and healthcare organizations specifically rely on our SOC 2 Type II compliance for handling sensitive applicant information. While Paperform is not HIPAA compliant for patient health data, it's perfectly suited for certification applications, training records, and professional credentialing workflows.

Start streamlining your CDT certification applications today with Paperform—the all-in-one platform that combines professional forms, secure payments, digital signatures, and automated workflows designed specifically for healthcare education and credentialing.
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