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Course Provider Form
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Process for approving continuing education courses initiated by the course provider:

  1. A Course Provider form should be used by continuing education providers seeking approval of a course they have offered or intend to offer.

  2. Appropriate application fee must accompany the completed application:

    $100 (3 contact hours)
    $150 (3.25-7 contact hours)
    $175 (7.25-12 contact hours)
    $200 (12.25-20 contact hours)
    $225 (20.25+ contact hours)
  1. Ensure each application includes the following: course description, course objectives, timed outline or agenda, instructor biographies to include pertinent clinical and educational experience, sample certificate of completion and sample participant evaluation. Online or home study courses must submit a copy of the participant post-test with a minimum passing score. Incomplete applications will be returned.

  2. Please allow 4-6 weeks for an application to complete the review process. 

After you complete the form you'll be taken to the store checkout where you will pay the corresponding application fee.  Please complete your purchase as the final step to the submission process.

 

Click here to submit a course of 3 Contact Hours ($100)

Click here to submit a course from 3.25 - 7 Contact Hours ($150)

Click here to submit a course from 7.25 - 12 Contact Hours ($175)

Click here to submit a course from 12.25 - 20 Contact Hours ($200)

Click here to submit a course from 20.25 or more Contact hours ($225)

 

 

You have the option of downloading a paper form here and submitting by mail.  

 

Note: If you are a course provider offering multiple educational opportunities throughout the year, please contact us to discuss our corporate sponsor option

 



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