How much are the NDEB exam fees?
| Item | Fee |
|---|---|
| Equivalency Process application | $900 |
| AFK | $1,000 |
| ACJ | $1,350 |
| NDECC, both components | $6,500 |
| NDECC clinical skills only | $3,250 |
| NDECC situational judgement only | $3,250 |
| Certification Process application | $450 |
| Virtual OSCE | $1,750 |
NDEB’s total covers the Equivalency Process application, the AFK, the ACJ, the NDECC and the Virtual OSCE once each. It goes up with every retake. Graduates of the Equivalency Process don’t make a separate Certification Process application.
Application fees aren’t refundable. NDEB reviews its fees every year and says they can change. Tax receipts are issued once a year under the “miscellaneous” tab in NDEBConnect.
Other NDEB fees
| Item | Fee |
|---|---|
| Verification of score | $200 |
| Equivalency Process re-application | $400 |
| Misconduct decision appeal | $1,200 |
| Appeal of the conduct of an exam | $1,200 |
| Replacement certificate | $75 |
| Proof of certification | $30 a letter |
| Proof of successful completion | $30 |
| Administrative fee | $200 |
The re-application fee is for people who failed the Assessment of Clinical Skills (ACS) three times, and NDEB ends re-application on May 1, 2027. The administrative fee is kept if you open two applications to the same process; NDEB refunds the second application fee minus that $200. Fees for service requests aren’t refundable.
Withdrawal fees
| When you withdraw | Share of exam fee |
|---|---|
| Before the registration deadline | 50% |
| After the deadline, or a no-show | 100% |
| Serious medical or exceptional reason | 25% |
These rates apply to the AFK, ACJ, NDECC and Virtual OSCE. You withdraw in NDEBConnect, and the exceptional-circumstances rate depends on NDEB approving your reason under its withdrawal policy.
Sources: NDEB and 4 more. Checked October 2026.
- NDEB: Equivalency Process Fees ↗
- NDEB: Certification Process Fees ↗
- NDEB: Are You Considering Canada? ↗
- NDEB: Withdraw from an Examination ↗
- NDEB: Changes to the Exam Registration Process (August 13, 2026) ↗
Rules and fees can change, so check the official site before your test.
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