PMH-C Renewal Form

PMH-C Renewal Form

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Use this form to submit your Continuing Education Credits for the PMH-C. This form is 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 initial PMH-C application, and it is not a replacement for the PMH-C application.

12 CE credits must be submitted every two years. If you have multiple documents, please combine the documents into a single file.

After the Certification Team reviews your renewal application, you will hear back from PSI regarding your status (approval, follow-up).
Email*
Name*

First NameLast Name
Your PMH-C certification ID*
What Track is your PMH-C in?*
Are you a PSI trainer? For PSI trainers, please upload your old certificate instead of your CEs.

YesNo
When did you first obtain your PMH-C certificate? *

MonthDayYear
When does your PMH-C expire?*

MonthDayYear
How many times have you renewed your certification? *
Total CEs submitted:*
Training/Course Names: Please include the date each CE course was completed. If a certificate does not include the date, please also upload a receipt/confirmation of the date for the course.*
Upload copies of training certificates here.*

Cancelof
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