PMH-C Documentation Submissions
Please submit all 3 documents. Incomplete documents cannot be processed.
This form will be used to submit all requested documentation as part of your PMH-C application. Please upload the following documentation on this list:
1. One approved 14-hour PMAD training 2. 6 hours of advanced training 3. Employment Verification Please do not submit paystubs. Download the Employment Verification/Private Practice Attestation Form from this webpage: https://bit.ly/EmploymentVer
Name
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First Name
Last Name
Email
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example@example.com
Submit your certificate of completion for your 14-hour PMAD training (PSI or Alternative Course). Upload as 1 document. You can check out these websites for information on how to combine pdfs https://combinepdf.comhttps://www.wikihow.com/Merge-PDF-Files
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Submit your certificate of completion for your 6 hour Advanced Training (PSI or Alternative Course). Upload all submissions as 1 document.
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Upload Employment Verification/Private Practice Attestation
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of
Submit
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