Certified Fitters

Certified Mastectomy Fitters are allied health professionals that specialize in breast health, breast care and post-mastectomy care services.

Professional Credentials


Certification is given to an individual. Certification is not given by a breast form manufacturer upon completion of a basic fitter course.

Post Mastectomy Certification is conferred by the American Board for Certification in Orthotics, Prosthetics and Pedorthics (ABC) as a Certified Fitter-mastectomy or from the Board for Orthotics Certification International (BOC) upon completion of specific education and examination requirements. A Certified Fitter, designated by the professional’s credentials, CF-m (ABC) or CMF (BOC), is a healthcare professional who is specifically educated and trained in the provision of breast prostheses and post-mastectomy services. Both ABC and BOC have defined similar Scope of Practice documents that details the specific capacity the certified individual can practice. Post Mastectomy Scope of Practice includes patient assessment, formulation of a treatment plan, implementation of the treatment plan, follow-up and practice management.


Licenses are given by a state agency to an individual. Many states are beginning to implement licensure for certified mastectomy fitters. Licensure usually involves a Legislature declaring “that in order to safeguard the health, safety, and welfare of the people against the unauthorized, unqualified, and improper administration of care, it is necessary to provide for the licensing and regulation of person’s offering [mastectomy and related] services to the public.”


Accreditation is given to a business. Accreditation of a post-mastectomy business is required by the Centers for Medicare and Medicaid Services (CMS) in order to be a supplier. Many state and private payors now also require accreditation to retain healthcare contracts. To attain accreditation, all a patient care facilities must comply with certain business requirements as well as the appropriate patient care standards. These standards create a minimum expectation for the physical environment and organizational function of post-mastectomy care providers.