What does a Certified Orthotic Fitter do?

The COF properly fits, dispenses and adjusts prefabricated orthotic devices. Orthotic devices aid patients in daily living by supporting weakened or abnormal limbs and joints. Trained and certified orthotic fitters are integral to the physical and emotional well-being of patients, providing training and instruction on how to properly use and maintain prefabricated orthotic devices. Board of Certification/Accreditation Orthotic Fitters (BOC COFs) are recognized professionally as having completed a rigorous education and training program that satisfies industry standards. The BOC COF Scope of Practice provides greater detail regarding the role of a BOC COF.

Eligibility Prerequisites for Orthotic Fitter Certification

To be eligible to take the orthotic fitter certification exam, an applicant is required to demonstrate successful completion (within the last five years) of an entry-level course through a fitter school or education provider. The education portal contains entry-level course providers that meet the requirements for the BOC COF. Check the box that says, “COF Entry Level” and select “Orthotic Fitter” as your Certification Program.

A candidate will have a minimum of 1,000 hours (25 weeks of full-time work) of documented patient care under the supervision of an appropriately qualified professional (another orthotic fitter or a professional with the orthotic fitter scope within his/her own scope of practice). For auditing purposes, documentation should be maintained and kept readily available. Suggestions for obtaining patient care requirements include:

  • volunteering at your local hospital or clinic
  • contacting BOC facilities in your area
  • bringing an orthotic fitter into your facility

Become Certified in Three Simple Steps:

1. Submit Your Application

Apply online or download the COF Application. Be sure to thoroughly prepare and review all the documentation that will be submitted with your application. Submit your certification fees with your application; only the application fee is required for application processing. Questions? Contact us.

2. Take Your Exam

Once your application is approved, you’ll receive notification of your eligibility to schedule your exam. BOC offers year-round testing for all computer-based exams, which means you don’t have to wait for a testing window. Use the COF Detailed Content Outline to prepare for the exam.

COF applicants are required to complete a multiple-choice exam. BOC’s test delivery provider, PSI, offers two test delivery options:

  1. in-person exams at a test center and
  2. live, remote online-proctored exams from your computer


PSI offers BOC exams at locations throughout the U.S. Choose from two testing times: 9 AM and 1:30 PM each weekday (some locations also offer exams on Saturdays). Choose your testing location from the list on the PSI website during the scheduling process. Make your exam appointment with PSI at least three business days prior to your desired test date.


Certification candidates have the option to take their exam with a live remote proctor, from a location of their choosing, using a desktop or laptop computer. All that’s needed is a quiet space and a device that meets PSI’s system requirements. Make an exam appointment with PSI at least 24 hours prior to your desired test date. Learn more.

3. Receive Results

No matter what computer-based test mode you choose, you will receive your results instantly upon the completion of your exam. Once you have earned your certification, you must meet continuing education requirements and renew your certification annually.