Paper & Pencil Exam

Take your exam in person at one of our scheduled locations.

Take the COS-C exam on paper

You can take Paper & Pencil (P&P) tests in person at a scheduled location. P&P exams are held all over the country throughout the year, typically after a two-day OASIS training workshop.

*Effective August 1, 2024, the COS-C exam will cover OASIS-E1 guidance


Plymouth, MN

Aug 07, 2024
9:00 AM to 11:30 AM

Exam Date

Chicago, IL

Aug 09, 2024
9:00 AM to 11:30 AM

Exam Date

Union, NJ

Sep 11, 2024
9:00 AM to 11:30 AM

Exam Date

Sep 18, 2024
9:00 AM to 11:30 AM

Exam Date

Baltimore, MD

Sep 27, 2024
9:00 AM to 11:30 AM

Exam Date

About the COS-C Exam

Learn more about the COS-C exam scope, duration, rules, and intended audience.


Get details about how to prepare for the COS-C exam and view sample test questions.

Attendee Feedback

"I am seen as the OASIS expert in our agency, and leadership and field clinicians feel comfortable coming to me with their OASIS questions, knowing that I will get them an answer that is backed-up by published CMS guidance."

COS-C Exam Attendee

"My COS-C designation has set me apart in my agency, in a good way."

COS-C Exam Attendee


Exam pricing, refunds, transfers, etc:

– Exam registration fees are non-refundable.
– No refunds or credits are available for exam candidates who do not attend their scheduled exam.
– CREDITS/TRANSFERS: If OAI is notified of inability to test PRIOR to the testing date, candidates will be offered a credit for the full amount of the exam fee.  This credit is good for 12 months.  P&P credit is transferable to another P&P exam date, another candidate, or as partial payment for CBT registration.
– Account credit is forfeited if unused by the end of the 12 month period.

– When you register for a CBT, you have one year to schedule and sit for your exam through PSI.
– No refunds or transfers are available for CBT exams.
– Once you schedule a testing date with PSI, there are no refunds or credits for no-shows.
– You can reschedule your test once without penalty (must be at least 3 business days prior to scheduled testing date) – this is done through PSI.  Failure to keep the second scheduled testing date will result in forfeit of exam registration fee.


When you take the Certificate for OASIS Specialist – Clinical (COS-C) examination you will have access to, or learn, certain information that is and should remain, confidential. This information includes examination questions and scoring. Therefore, you agree when you sign this examination non-disclosure form, to keep strictly confidential any information pertaining to specific examination questions and answer choices, concepts included (or excluded) on the examination, and scoring results, except for our own result which you may disclose as you wish. A violation of this agreement may result in revocation of your COS-C Certificate, if you are awarded one, and/or an assessment for costs incurred by OASIS Answers, Inc. resulting from your breach of this confidentiality agreement, including but not limited to, attorney’s fees, costs to make necessary revisions to the examination questions, re-auditing of the revised exam, and reprinting of examination booklets.

*All exam candidates sign this confidentiality agreement prior to sitting for the examination.


The website serves as a medium to communicate information about OASIS Answers, Inc.’s educational events and related products and services including the Certificate for OASIS Specialist – Clinical (COS-C) Exam.

Information disclosed on OAI’s website is created by OAI (unless referenced) and is the property of OAI whether or not a copyright notice appears on the particular screen displaying information. Users of OAI’s website may download and use information contained on this site only for personal use. Any other use of this information requires the prior written permission of OAI, which may be requested by contacting OAI’s office at 425.868.2304.

OAI makes no warranty, guarantee, or representation as to the accuracy or sufficiency of the information posted on this website, and assumes no responsibility or liability regarding the use or misuse of such information. Links to external sites are provided as a courtesy only. OAI assumes no responsibility or liability for these external sources, including content, accuracy, or compliance with applicable laws. Any legal dispute arising from the use of this website is governed by Nevada State law.