Cancer Registry Management Program

CRM Prerequisite Form

To qualify for Route 2 eligibility for the Cancer Tumor Registrars (CTR) certification exam, students must complete an NCRA-approved formal education program. There are four (4) prerequisites in this program, all of which must be completed successfully prior to taking any of the specialty courses.

All prospective students for the AHIMA Cancer Registry Management (CRM) program are required to complete and submit this form prior to registering for any CRM courses.

Not interested in taking the CTR Exam?

If you are not interested in qualifying for the CTR certification exam via Route 2 eligibility, but would like to register for Cancer Registry Management specialty courses, click the link below to complete our Opt Out Form.

Opt Out Form

Please complete this form in it's entirety, then click the "Next" button. Required fields are indicated by blue text. After you submit the form, you will receive complete instructions on where to have official transcripts sent for prerequisite verification.

PART 1: Your Information      
Current Name      
First
 MI
 Last
AHIMA 7-digit ID
 
Former Name (required if you took any of your prerequisite
courses under a different name)		  
First
 MI
 Last
      
Home Address      
Street
City
 State
 Zip Code
  
Contact Information      
Daytime Area Code and Phone Number
  		E-mail Address
    
RHIA and RHIT Certifications
If you hold either of these credentials, we will waive prerequisite transcripts, subject to credential verification. (Even if you select one of the options below, you must also complete Part 2 of this form). Note: after submitting the CRM Prerequisite Form, RHIAs and RHITs may register online for the specialty courses immediately, while awaiting prerequisite verification.		    
I am an RHIA I am an RHIT      
   
PART 2: CRM Prerequisites  
Prerequisite 1: Anatomy and Physiology (A&P)
(select one of the options below and provide the required information)
  

I successfully completed A&P with AHIMA (or registered through AHIMA and completed the course with Alfred State College).

  

I successfully completed a college-level A&P course at another school. Please provide...
Name of school: Final grade Year of completion:

 
I have not yet completed A&P, but am currently enrolled or will enroll. Please provide...
Name of school: 		 
 
Prerequisite 2: Computer Basics in Healthcare (CBH)
(select one of the options below and provide the required information)
  
I successfully completed a college-level CBH course. Please provide...
Name of school*: Final Grade Year of completion: 		 
I have not yet completed CBH , but am currently enrolled or will enroll. Please provide...
Name of school*: 		 
*If you previously completed this course as part of our Coding Basics program, or plan to enroll in the AHIMA CBH course, enter "AHIMA" in the school field.
 
Prerequisite 3: Medical Terminology (MT)
(select one of the options below and provide the required information)
  
I successfully completed a college-level MT course Please provide...
Name of school*: Final grade: Year of completion: 		 
I have not yet completed MT, but am currently enrolled or will enroll. Please provide...
 Name of school*: 		 
*If you previously completed this course as part of our Coding Basics program, or plan to enroll in the AHIMA MT course, enter "AHIMA" in the school field.
 
Prerequisite 4: Pathophysiology/Pharmacology (Path)
(select one of the options below and provide the required information)
  
I successfully completed a college-level Path course. Please provide...
Name of school*: Final grade: Year of completion: 		 
I have not yet completed Path, but am currently enrolled or will enroll. Please provide...
Name of school*: 		 
*If you previously completed this course as part of our Coding Basics program, or plan to enroll in the AHIMA Path course, enter "AHIMA" in the school field.