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NHCWA Certification Portal

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Renew Now
- Renewal
- Healthcare Workers Certification Bridge Program

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NHCWA Certification Portal

Home
Renew Now
- Renewal
- Healthcare Workers Certification Bridge Program

Renewal

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Name *

First

Last

Date / Time

Date

Time

Email *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Certification # if available

Are you currently employed?* *

Yes
No

Date you are renewing

Current employer if applicable

Employers Phone

1. Have you worked at least 40 hours over the past two years? *

Yes
No

2. Have you ever had your certification suspended, revoked, or terminated by any agency or organization? *

Yes
No

3. Have you ever been convicted of a criminal offense? *

Yes
No

4. Do you have any outstanding disciplinary actions, investigations, or complaints? *

Yes
No

5. Are you currently under any probation or corrective action related to your practice? Purpose: Helps evaluate current professional standing beyond past records. *

Yes
No

6. Have you completed all required continuing education (CE) credits for this renewal cycle? *

Yes
No

7. Do you currently hold any other healthcare certifications or licenses in good standing? (e.g., CPR, CMA, phlebotomy) *

Yes
No

Has your contact information (address, employer, phone, email) changed since your last renewal? *

Yes
No

9. Are you aware of and in compliance with all current continuing education and practice requirements for your certification? *

Yes
No

Upload a copy of your photo ID *

Click or drag files to this area to upload. You can upload up to 100 files.

Confirmation *

I acknowledge that my renewal is final and that I cannot cancel until it expires.

Signature *

Clear Signature

Checkbox Items

Nationally Certified Multi-Skilled Healthcare Technician ™ (NCMSHCT™)$695 – $695.00 – $695.00
Nationally Certified Operating Room & Surgical Technician ™ (NCORST™)$695 – $698.00 – $698.00
Nationally Certified Multi-Skilled Medical Assistant™ (NCMSMA™)$465 – $465.00 – $465.00
Nationally Certified Multi-Skilled Phlebotomy Technician™ (NCMSPT™)$195 – $195.00 – $195.00
Nationally Certified Multi-Skilled Patient Care Technician ™ (NCMSPCT ™)$465 – $465.00 – $465.00
Nationally Certified Multi-Skilled Pharmacy Technician ™ (NCMSPRT ™)$295 – $295.00 – $295.00
Nationally Certified Multi-Skilled Emergency Room Tech ™ (NCMSERT™)$315 – $315.00 – $315.00
Nationally Certified Multi-Skilled Healthcare Instructor ™ (NCMSHI™)$895 – $895.00 – $895.00
Nationally Certified Multi-Skilled EKG Technician™ (NCMSET™)$195 – $195.00 – $195.00
Nationally Certified Multi-Skilled Medical Billing & Coding Specialist ™ (NCMSBCS™ )$195 – $195.00 – $195.00
Nationally Certified Multi-Skilled Medical Laboratory Assistant ™ (NCMSMLA) ™$195 – $195.00 – $195.00
Nationally Certified Multi-Skilled Insurance Exam Technician™ (NCMSIET™)$365 – $465.00 – $465.00
Nationally Certified Multi-Skilled Medical Administrative Assistant ™ (NCMSMAA™)$365 – $365.00 – $365.00
Nationally Certified Multi-Skilled Instrument & Sterile Processing Technician ™ (NCMSISPT™)$495 – $495.00 – $495.00
Nationally Certified Multi-Skilled Dental Assistant™ (NCMSDA™)$465 – $465.00 – $465.00
Nationally Certified Clinical and Administrative Medical Assistant $365 (1 Certification only) – $365.00 – $365.00
Certification by reciprocity $399 – $399.00 – $399.00
Reinstatement $200 – $200.00 – $200.00
Hard Copy or Duplicate Certification $25 – $25.00 – $25.00
Nationally Certified Urgent Care Technician – $365.00 – $365.00

Stripe Credit Card *

phone, Certification you

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