Fillable CCE Approved Clinical Supervisor (ACS) Program (Center for Credentialing & Education)

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CCE Approved Clinical Supervisor (ACS) Program (Center for Credentialing & Education)

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CCE Approved Clinical Supervisor (ACS) Program
Continuing Education Log
Record the activities that you attend for recredentialing of your CCE Approved Clinical Supervisor (ACS)
Program credential. The activities must occur within the five-year credentialing cycle.
My credentialing date is: _______________
My expiration date is: _______________
Dates Course/Activity
Provider/Sponsor
Name
Type of
Documentation
# of
Hours
GRAND TOTAL
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CCE Approved Clinical Supervisor (ACS) Program (Center for Credentialing & Education)

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Completed 26 May 2021

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