The certification process involves cooperation between ESH and National Hypertension Societies.

Each applicant has to send his/her application form (available through his/her National Hypertension Society or Internet) to a National Selection Committee nominated by the National Hypertension Society.

1. Upon approval by the National Selection Committee the application form is sent to the Steering Committee for European Hypertension Specialist of ESH. This Committee takes the final decision about the nomination in consultation with an Advisory Accreditation Committee formed by representatives of each National Hypertension Society.
   
   
2. Each nominee is required to pay a fee of 50 Euro to ESH (to be sent to the ESH Treasurer, Professor Wolfgang Kiowski - Dept. of Internal Medicine - Division of Cardiology - University Hospital - Ramstrasse 100 - CH 8091 Zurich - Switzerland).
   Nominations will be reported in the Journal of Hypertension, Blood Pressure, ISH Hypertension News and Internet.
   The Diploma will be sent, by express courier, upon request to Stefania Micari - stefania.micari@unimib.it