Certification Renewal

Click to download the form:

Instructions: **** Reinstatements are only done by mail

If your certifications has lapsed you will need to fill out a reinstatement form and pay the $200 reinstatement fee not a renewal form

Please mail the completed reinstatement form with the $250 Reinstatement fee to the following Payee and address:

National Healthcare Workers Association

378 Boston Post Road Suite 1000 Orange CT 06477

 

Instructions: * Renewal can be done online or by mail

If you are just renewing your certification and it has not lapsed you can renew online by filling out the form below and making the $105 payment on our website,  You can also mail the renewal form below with the $105 payment to

National Healthcare Workers Association

378 Boston Post Road Suite 1000 Orange CT 06477

 

 

Please fill out the form below to purchase your certification renewal.

Name

Address

City

State

Zip

Phone Number

Email

Have you worked in the field with in the last 24 months?

Have you take any continuing education in the field in the last 24 months?

Current Employer

Certification Number

Certification Type
 Phlebotomy Technician EKG Technician Pharmacy Technician Medical Assistant Insurance Exam Tech Medical Laboratory Assistant Medical Billing & Coding Patient Care Technician Administrative Assistant Residential Care Worker Bridge Program CPR Personal Fitness Operating Room Surgical Instrument Sterile Processing Personal Care Assistant Ultrasound Diagnostic Medical Sonography Substance Abuse Intake IV Tech Healthcare Office Manager Homemaker Companion Assistant Healthcare Instructor Multi Skills Tech Physical Therapy Aide Emergency Room Tech Preparation Workshop