Entrance Exam for Work in the United States

Foreign Nursing Proficiency FNP Certification

Disabilities, Injuries, and Illness Rehabilitation Nursing (DIIRN) Certification

The disabilities, injuries, and illness rehabilitation nurses help individuals affected by chronic illness or physical disability to adapt to their disabilities, achieve their greatest potential, and work toward productive, independent lives. The Recovery, Reintegration, and Rehabilitation Nursing Exam reflect current rehabilitation nursing practice. ,
The importance of obtaining the DIIRN Certification is to demonstrate certain abilities and emphasis in rehabilitation to the employer.

The DIIRN Certification is an important factor for initial employers to consider the following:

DIIRN Certification Requires:

* All required material is covered in one extensive exam. The exam has two sections.

Candidates who successfully pass the DIIRN exam will be award DIIRN certification.

Application Process Qualification Requirements Exam Information fees

Application Process

For members, login to your AFNPA system account, under Certifications select DIIRN Exam. For non-member candidates, register on www.afnpa.org, become a member, or select TCP Candidate to continue without membership.
Pay for the exam fees.
Upload or mail in required qualification documentations.  

Qualification Requirements

To be eligible for the exam, foreign nurses outside of the United States must complete at least 18 months of professional nursing education.
Provide a copy of your home country personal identification card.
Provide a passport standard photo.
You will receive an email verification regarding whether you exam eligibility have been met. If you are eligible to take the exam, you will be given an Exam Identification Form (EIF) to select your exam date and attend your exam.
For students who are currently still in school, provide a copy of your school transcripts upload to AFNPA system, if you are mailing in the documentations please have your school student record department mail to us directly using a sealed envelope.
For students who already graduated, provide one copy of your nursing school diploma and transcript.

Exam Information

  • Exam Layout

    The DIIRN Qualifying Exam has both Internet-based and paper based exams for candidates to choose. Questions utilize a multiple-choice format. The exam will take approximately 90 minutes.
  • Bring to exam

    Your Exam Identification Form (EIF)
    Home country personal identification card.
  • Exam result

    With-in 15 business days, you would be able to access your exam result through AFNPA system.
    If you pass the exam, after a finial review of all documents, your certification will be mail to you with in one month.


  • Certification
  • Description
  • Fees
DIIRN Segment 1 Certification Program application
Included both exam and certification fee
Order Second certificate
Reprocess an expired re-examination application
With in 12 months from the expiration date