Certified Registered Central Services Technician (CRCST) Authentication Form

Please follow the steps below to properly complete the HSPA Provisional Certification Authentication Form required for full CRCST certification:

✅ Step 1: Complete 400 Hours of Hands-On Experience

• You must complete 400 hours of hands-on experience in a Sterile Processing (SP) department at a hospital or surgery center.
• Experience may be paid or volunteer and can be split across multiple facilities. Each facility must complete a separate form.

✅ Step 2: Manager/Supervisor Completes the Form

• The form must be completed in full by your manager or supervisor who directly oversaw your work.
• Acceptable roles include: Lead Tech, Coordinator, Supervisor, Manager, Director, Chief, Administrator, or Hospital-Based Educator.
• The certificant (you) may not complete any part of the form.

✅ Step 3: Initial Each Section of Experience

Your supervisor must initial the following five sections to confirm your experience:

1. Decontamination Processes (120 hours)
2. Preparing & Packaging Instruments (120 hours)
3. Sterilization & Disinfection (120 hours)
4. Storage & Distribution (24 hours)
5. Quality Assurance Processes (16 hours)

Typed initials are not accepted.

✅ Step 4: Submit the Completed Form

Once the form is fully completed and signed:

• Online submission: https://dashboard.myhspa.org/certification and email a copy to clinicalsupportteam@medcerts.com