A Certified Professional Midwife (CPM)
has earned national certification through the North American Registry of Midwives
(NARM). Client continuity of care and clinical birth experiences in out-of-hospital settings (birth center or home) are required for certification. Education can be obtained through a MEAC-accredited
or non-accredited school or program, or through apprenticeship. Midwifery practice guidelines, an informed consent document, and an emergency care plan are required. Graduates of a MEAC-accredited program must pass the NARM national written certification examination. Graduates of other educational programs or routes must complete the NARM Portfolio Evaluation Process and pass a skills practical examination in addition to the written examination.