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The Next Generation of Precision Masters

Level 2 Certification

Proof of mastery — and the doorway to teaching this work inside the Institute.

CREDENTIALLevel 2 Certified Advanced Orthogonist
APPLICATION FEE$1,800
REVIEWERS3 assigned
TIME LIMIT1 year from application
MAINTENANCE1 Seminar / year + membership
What It Certifies

Proficiency that is reproducible.

Level 2 Certification means the doctor has demonstrated a level of proficiency that is reproducible and consistent with the standards of Advanced Orthogonal care. It affirms strong application of the technique, competence in complex clinical scenarios, and high proficiency both orally and practically.

Three assigned reviewers evaluate your examination, your training requirements, your clinical application, and your case reports. The same reviewers conduct the Oral Interview and the Practical Exam. On completion you are recognized as a Level 2 Certified Advanced Orthogonist and receive a certificate from the Certification Committee.

The application process, including every requirement, must be fulfilled within one year of the date the application is submitted.

Requirements

What Level 2 asks of you.

A minimum of three years in active practice.
A minimum of 250 cases managed under Advanced Orthogonal care.
Pass the Advanced Orthogonal Advanced Examination.
Pass the Oral Interview.
Pass the Practical Exam.
Submit two case reports — at least one a complex case — each with a HIPAA form.
Candidacy review by the Certification Committee, with two reviewers from separate clinics.
Maintain your annual AOI membership.
The Oral Interview

A conversation about why.

The Oral Interview is a discussion of your understanding of the upper cervical subluxation complex and the Advanced Orthogonal procedures used to correct the misalignment. All three reviewers take part. You answer questions and work through scenarios, demonstrating proficient understanding of the technique out loud.

The Practical Exam

Hands on the table.

The Practical Exam is a hands-on test of your proficiency in table placement and instrument alignment. The three reviewers conduct it, with one of them acting as the patient. You demonstrate your understanding of the five Advanced Orthogonal subluxation complex patterns and show adequate logic and reasoning throughout.

Case Reports

What each report has to contain.

Each report covers at least the first three months of the patient’s care and the outcomes over that period. The patient must be under your direct treatment.

Pre and post x-rays.
The initial patient presentation and complaints.
The initial diagnosis and x-ray findings.
A description of the unique misalignment.
The treatment plan.
Your post x-ray analysis, explained, including any modifications to the adjustment.
The patient’s response to care.
Any secondary therapies or adjustments used.
Any advanced imaging taken.

At least one of the submitted cases must demonstrate a minimum of one analysis factor that did not reduce, or that increased.

What counts as a complex case

A complex case is a patient presentation of a disorder other than musculoskeletal pain, radiculopathy, or basic headache — or one involving complicating anatomical or aberrant structures. Your reviewers determine whether a case qualifies.

Application fee

The application fee for Level 2 Certification is $1,800.

If you do not pass an exam

You may retake the examination no sooner than one month and no later than twelve months from the date of the failure. If a reviewer becomes unavailable, an alternate reviewer may substitute for that exam only. Retakes are permitted once; a second failure means restarting the entire application process.

Apply for Level 2← Back to Level 1

Level 2 opens the instructor pathway.

Mastery of the technique is where teaching it begins — the Institute’s faculty comes from its Level 2 doctors.

Talk to the Certification Committee