ARTP Certificates Extension Request Form

This form is to be completed only by those undertaking a CPET, Blood Gas or Sleep Certificate.

You must not complete this form if you are undertaking a Professional Qualification or Spirometry Certificate

Application for an Extension

Please note - 6 month deferral extensions are granted only under exceptional circumstances, such as long-term illness, transfer of hospital, family bereavement. Supporting evidence, such as a sick note or a letter/email from a senior staff member, must be submitted with the application for a 6 month extension.

*Candidate Name

*Candidate Email

*Which ARTP certificate are you undertaking?CPET CertificateSleep CertificateBlood Gas Certificate

*Please select which extension you are applying for2 month extension6 month extension

*For those applying for a 6 month extension, please provide evidence from a manager to support your application

*Reason for extension