On-line Renewal

Welcome to the ACBHC on-line renewal system. ACBHC certified professionals are now able to renew their certification on-line. Please note that on-line renewals are subject to random audit and you may be asked to mail in your CEUs if audited. It is your responsibility to maintain all transcripts and/or CEU certificates associated with this renewal for a minimum of two years from the date you submit your application. If you have any disciplinary actions you are not eligible for on-line renewal and you should email ACBHC for further instruction. Please note that the forms below are for renewals only and all new certification applications must still be mailed in with all documentation.

Please select the certification you wish to renew from the list below. Please note, this procedure is for renewal only, and initial applications or upgrading/changing certification requires the complete paper application be submitted to ACBHC.

To renew on-line, you must:
  1. Be Absent of any ethical or malpractice violations.
  2. Completion of forty (40) hours of continuing education, including three hours of ethics and three hours of confidentiality.
  3. Pay all applicable re-certification fees.
NAADAC Code of Ethics
Renew On-line
Please email ACBHC if you need to paper renewal application.

Complete the form below to renew your Chemical Dependency certification.

Please note that on-line renewals are subject to random audit and you may be asked to mail in your complete renewal packet, including all required CEUs at any time. It is your responsibility to maintain all transcripts and/or CEU certificates associated with this renewal. If you are renewing more than six months from the expiration date of your certification or if you have any ethical complaints or violations you are not eligible for on-line renewal and you should mail in your complete renewal packet.

What type of certification are you applying for? Please check all that apply.
Chemical DependencyBehavioral Health
CT BHT
CDC I BHC I
CDC II BHC II
CDCS ABHC
ADM
Please read and check the acceptance box below:
  1. ACBHC does not accept incomplete applications. All incomplete applications may be returned to the applicant, or destroyed at ACBHC’s discretion.
  2. All applicants are responsible for making sure ACBHC receives all their paperwork, as well as paperwork to be submitted by others on the Applicant’s behalf (i.e. letters of recommendations, practicum, etc.). If all forms are not submitted to us within six months of the application date, the application will be voided. Voided applications are subject to be mailed back to the applicant or destroyed, at ACBHC’s Discretion.
  3. ACBHC keeps records of expired certificates only, not the corresponding paperwork found in the files. If a certification has not been renewed and/or has been expired for over six months their file and all paperwork within it will either be destroyed or mailed back to the person at their last know address, at ACBHC’s discretion.
*I have read, understand and accept the above statements.
*I have read, understand and agree to abide by the NAADAC Code of Ethics
General Information First Name*

Middle Name

Last Name*

Other Names Used

Date of Birth (MM/DD/YYYY)*

Address*


City*

State*

Zip Code*
-
Email Address

Home or Cell Phone*

Office Phone

Employment Job Title*

Current Employer*

Address*


City*

State*

Zip Code*
-
Supervisor Name*

Supervisor Phone Number*

Supervisor E-mail

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Thanks for sending your Application.
Please mail in your payment or pay on-line.
If you are renewing more than one certification, pay for the most expesive certification and $25.00 for each additional certification.

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