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Licensing and Certification

In-person Continuing Education Applicants

Submit the following documents, if you are applying for the in-person continuing education program:

  • Application for Initial or Renewal Approval as a Continuing Education Provider (CDPH 192) (PDF) (Revised 10/15)
    • A minimum of four (4) lesson plans (from course list on page 2 of CDPH 192) with a copy of the posttest.
    • A copy of each instructor's resumes and his or her current professional license or certification.
    • A copy of current city/county business license or copy of health facility license. If the applicant is an educational institution (college/university), a business license is not required.
    • A copy of attendance sign-in sheet used for each classroom course.
    • A copy of CE Course Certificate
    • A written description of classroom characteristics and equipment used.
    • The CE program record keeping policy
    •  Contact Information Form (CDPH 193) (PDF) (Revised 12/19)

Online Continuing Education Applicants

Submit the following documents, if you are applying for an online continuing education program:

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