---
title: Certified Lymphedema Therapist Application Form Template | Paperform
description: Professional CLT certification application form for manual lymph drainage training verification, patient treatment hours tracking, and LANA exam registration. Streamline your certification process.
url: "https://paperform.co/templates/certified-lymphedema-therapist-application"
type: static
generatedAt: "2026-03-28T00:43:16.775Z"
---

[← Back to free form templates](/templates/)    ![Certified Lymphedema Therapist Application](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/certified-lymphedema-therapist-application.png)
    [Preview](https://_preview.paperform.co/ai-template/certified-lymphedema-therapist-application) [Use this template for free](/create?ai-template=certified-lymphedema-therapist-application)    [Application Forms](/templates/category/applications/) [Healthcare](/templates/industry/healthcare/)[Fitness & Wellness](/templates/industry/fitness-wellness/) [Nurse](/templates/role/nurse/)[Physical Therapist](/templates/role/physical-therapist/)[Healthcare Administrator](/templates/role/healthcare-admin/)[Massage Therapist](/templates/role/massage-therapist/)[Occupational Therapist](/templates/role/occupational-therapist/)     About this free form template
### Complete Your Certified Lymphedema Therapist Certification Application Online

Becoming a **Certified Lymphedema Therapist (CLT)** is a significant milestone in your healthcare career, demonstrating your specialized expertise in treating patients with lymphedema and related conditions. Our comprehensive online application form streamlines the entire certification process, making it simple to submit your manual lymph drainage training credentials, document patient treatment hours, and register for the Lymphology Association of North America (LANA) certification exam.

#### Why Choose Paperform for Your Certification Applications?

Whether you're a **physical therapist, occupational therapist, massage therapist, or registered nurse** seeking to expand your practice into lymphedema management, the certification process involves detailed documentation and careful verification of training requirements. Traditional paper-based applications create unnecessary delays, lost documents, and administrative headaches for both applicants and certification bodies.

This **Certified Lymphedema Therapist Application** template transforms the certification process into a smooth, professional digital experience. Applicants can complete the entire form at their own pace, upload supporting documentation securely, and submit payment for exam registration—all in one streamlined workflow. For certification organizations and training programs, Paperform eliminates manual data entry, reduces processing time, and ensures every application includes all required information before submission.

#### What Makes This Lymphedema Certification Application Template Effective

This form template is specifically designed for the lymphedema therapy certification pathway, addressing the unique requirements set by organizations like LANA:

 - **Professional background verification**: Capture applicant credentials including current healthcare license type, license number, state of practice, and years of clinical experience
 - **Educational requirements**: Document completion of approved manual lymph drainage (MLD) training programs, including instructor name, training dates, total hours, and program accreditation details
 - **Clinical competency tracking**: Log patient treatment hours across different lymphedema stages and anatomical areas, ensuring applicants meet minimum practice requirements
 - **LANA exam registration**: Collect exam preferences, testing center location, accommodation needs, and examination fees in a single streamlined process
 - **Supporting documentation upload**: Allow secure file uploads for training certificates, license verification, supervisor attestation letters, and continuing education credits

The form uses conditional logic to adapt questions based on the applicant's primary healthcare license, training pathway (135-hour vs. 145-hour programs), and previous certification attempts, ensuring every applicant sees only relevant questions.

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

This template serves multiple stakeholders in the lymphedema therapy certification ecosystem:

**Certification organizations** like LANA can process applications more efficiently, automatically verify that all required documentation is submitted, and maintain organized digital records that simplify audit and compliance processes.

**Lymphedema training programs** can use this template to pre-screen candidates for certification eligibility, track graduate outcomes, and provide a value-added service by helping students navigate the certification application process.

**Healthcare facilities** with lymphedema clinics can standardize how they support staff pursuing certification, ensuring therapists complete all requirements and making it easier to track professional development across the team.

**Individual practitioners** building a specialized lymphedema practice benefit from a clear, organized application process that reduces administrative burden and gets them certified faster.

#### Streamline Certification with Paperform + Stepper Automation

Once an application is submitted, the real administrative work begins—and that's where **Stepper** (stepper.io) becomes invaluable. You can automate the entire post-submission workflow:

 - Send confirmation emails with application tracking numbers and expected review timelines
 - Route applications to different reviewers based on training program type or geographic region
 - Flag applications with missing documentation and automatically send follow-up requests
 - Update your certification management system or CRM with new applicant data
 - Trigger exam scheduling workflows once applications are approved
 - Send reminders about upcoming exam dates, study resources, and certification maintenance requirements

This automation eliminates manual tracking spreadsheets and ensures no application falls through the cracks, even during peak certification periods.

#### Built for Healthcare Professionals Who Value Their Time

Healthcare professionals are busy people. Between patient care, documentation, and continuing education, finding time to navigate complex certification applications is challenging. This template respects that reality by creating an intuitive, mobile-friendly experience that can be completed in 15-20 minutes.

The form saves progress automatically, so applicants can start the application during a lunch break and finish it later from home. Calculation fields automatically total training hours and patient treatment hours, eliminating math errors. Conditional sections guide applicants through exactly what they need to provide based on their unique situation—no wading through irrelevant questions.

For **physical therapists**, **occupational therapists**, **massage therapists**, and **nurses** looking to differentiate their practice and serve the growing population of lymphedema patients, this certification represents both professional advancement and the ability to deliver specialized, evidence-based care. Making the application process smooth and stress-free is the first step.

#### Secure, Compliant, and Professional

Handling healthcare credentials and personal licensure information requires the highest standards of data security. Paperform is **SOC 2 Type II certified** and fully **GDPR compliant**, ensuring that applicant data is protected with enterprise-grade security throughout the certification process.

Role-based permissions let you control who on your team can view applications, approve documents, or process payments. All data is encrypted in transit and at rest, and you maintain complete control over data retention policies and export capabilities.

#### Get Started in Minutes

This **Certified Lymphedema Therapist Application** template includes everything you need to launch your digital certification process immediately. Simply customize the training program requirements to match your specific certification pathway, add your organization's branding, connect your payment processor for exam fees, and publish.

Whether you're processing 10 applications per year or 1,000, Paperform scales effortlessly while keeping the experience professional and personal. Healthcare professionals deserve certification processes that match the quality of care they provide to patients—and this template delivers exactly that.

**Ready to modernize your lymphedema therapy certification program?** Start with this template and experience how Paperform transforms complex healthcare credentialing into a streamlined digital workflow that benefits applicants, administrators, and ultimately, the patients who receive expert lymphedema care.
       Built for growing businesses, trusted by bigger ones.   Trusted by 500K+ business owners and creators, and hundreds of millions of respondents.     ![Capterra - 4.8 out of 5](/images/capterra-st.jpg)
 ![Trustpilot - 4.8 out of 5](/images/trustpilot-st.jpg)
 ![G2 - 4.8 out of 5](/images/g2-st.jpg)
  [Try Paperform free now](/register)
## More templates like this
  [![Aquatic Therapy Certification Scholarship Application](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/aquatic-therapy-certification-scholarship-application.png)

### Aquatic Therapy Certification Scholarship Application

Apply for an aquatic therapy certification scholarship. For physical and occupational therapists seeking to specialize in hydrotherapy and aquatic rehabilitation techniques.](/templates/aquatic-therapy-certification-scholarship-application/)
[![Lymphedema Therapy Certification Scholarship Application](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/lymphedema-therapy-certification-scholarship-application.png)

### Lymphedema Therapy Certification Scholarship Application

Apply for a scholarship to pursue Certified Lymphedema Therapist (CLT) certification with a focus on complete decongestive therapy training and oncology rehabilitation.](/templates/lymphedema-therapy-certification-scholarship-application/)
[![Massage Therapy License Certification Application](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/massage-therapy-license-certification-application.png)

### Massage Therapy License Certification Application

Apply for your massage therapy license with this comprehensive certification application. Upload transcripts, schedule your practical exam, and complete background screening consent in one streamlined form.](/templates/massage-therapy-license-certification-application/)
[![Adaptive Sports Instructor Certification Application](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/adaptive-sports-instructor-certification-application.png)

### Adaptive Sports Instructor Certification Application

Apply for adaptive sports instructor certification with comprehensive assessment of disability awareness, activity specialization, safety management skills, equipment modifications knowledge, and teaching practicum requirements.](/templates/adaptive-sports-instructor-certification-application/)
[![Aquatic Physical Therapist Application](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/aquatic-physical-therapist-application.png)

### Aquatic Physical Therapist Application

A comprehensive application form for aquatic physical therapist positions, collecting credentials, certifications, equipment proficiency, patient experience, and facility design expertise.](/templates/aquatic-physical-therapist-application/)
[![Certified Aesthetic Nurse Specialist (CANS) Application](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/certified-aesthetic-nurse-specialist-cans-application.png)

### Certified Aesthetic Nurse Specialist (CANS) Application

Apply for Certified Aesthetic Nurse Specialist certification. Submit your credentials, cosmetic procedure experience, injectable competency records, and register for the CANS examination.](/templates/certified-aesthetic-nurse-specialist-cans-application/)
[![Certified Ambulatory Care Nurse (CATN) Application](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/certified-ambulatory-care-nurse-catn-application.png)

### Certified Ambulatory Care Nurse (CATN) Application

Apply for your Certified Ambulatory Care Nurse certification. Complete your application, document outpatient experience, demonstrate telehealth competency, and register for the CATN examination.](/templates/certified-ambulatory-care-nurse-catn-application/)
[![Certified Ambulatory Perianesthesia Nurse (CAPA) Application](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/certified-ambulatory-perianesthesia-nurse-capa-application.png)

### Certified Ambulatory Perianesthesia Nurse (CAPA) Application

Apply for CAPA certification with comprehensive assessment of outpatient surgery experience, discharge criteria competency, and exam registration.](/templates/certified-ambulatory-perianesthesia-nurse-capa-application/)
[![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)

### Certified Bariatric Nurse (CBN) Application

Apply for Certified Bariatric Nurse (CBN) certification. Submit your credentials, bariatric nursing experience, nutritional counseling competencies, and register for the CBN examination.](/templates/certified-bariatric-nurse-cbn-application/)
[![Certified Bone Densitometry Technologist Application](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/certified-bone-densitometry-technologist-application.png)

### Certified Bone Densitometry Technologist Application

A comprehensive application form for healthcare professionals seeking CBDT certification, including DXA scanning experience verification, positioning competency assessment, and exam registration.](/templates/certified-bone-densitometry-technologist-application/)
[![Certified Breast Care Nurse (CBCN) Application Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/certified-breast-care-nurse-cbcn-application-form.png)

### Certified Breast Care Nurse (CBCN) Application Form

Apply for CBCN certification with this comprehensive application form covering breast health experience, mammography coordination competencies, and exam registration.](/templates/certified-breast-care-nurse-cbcn-application-form/)
[![Certified Breastfeeding Counselor Application](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/certified-breastfeeding-counselor-application.png)

### Certified Breastfeeding Counselor Application

Apply for your Certified Breastfeeding Counselor (CBC) certification. Complete application including lactation support training, peer counseling hours verification, and exam registration.](/templates/certified-breastfeeding-counselor-application/)