PMH-C Renewal Form
Use this form to submit your Continuing Education Credits for the PMH-C. This form is exclusive to be used after you have completed the PMH-C exam, and received your certification credentials. This form should not be used as part of your PMH-C application, and is not a replacement for the PMH-C application. 12 Credits for two years, submitted every 2 years. CE submissions are reviewed and approved monthly. After the review, you will hear back from PSI regarding your status (approval, follow-up). If you have multiple documents, please combine the documents into a single file.
Email
*
example@example.com
Name
*
First Name
Last Name
Your PMH-C certification ID
*
What Track is your PMH-C in?
*
Please Select
Psychotherapy/Mental Health
Psychopharmacology (Prescriber)
Affiliate (Peer Supporters/Peer Specialists, Nurses, Doulas, Lactation,etc)
Are you a PSI trainer? For PSI trainers, please upload your old certificate instead of your CEs.
Yes
No
When did you first obtain your PMH-C exam? (Date of certification)
*
-
Month
-
Day
Year
Date
When does you PMH-C expire? (Please don't submit CEs more than 3 months before the PMH-C expires)
-
Month
-
Day
Year
Date
How many times have you renewed your certification?
*
Total CEs submitted: (Please write total CEs here)
*
Training/Course Names:
*
Please list all the courses taken here
Upload copies of training certificates here.
*
Browse Files
Drag and drop files here
Choose a file
Please combine all the certificates into one pdf. Only pdf forms are accepted. 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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