Fillable Exam Reregistration EDUCATION CREDENTIALING Telemental Health CENTER FOR (Center for Credentialing & Education)

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Exam Reregistration EDUCATION CREDENTIALING Telemental Health CENTER FOR (Center for Credentialing & Education)

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File type: PDF

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™
CENTER FOR
CREDENTIALING
&
EDUCATION
Telemental Health
Exam Reregistration
Male:
CCE/Attn: TMH Training Mgr
Email preferred: credentialinfo@cce-global.org
or
CCE
3 Terrace Way
Greensboro, North Carolina 27403-3660
or FAX: 336-482-2852
• The cost to reregister is $25. This examination fee is nonrefundable and nontransferable.
The fee will be collected online.
• TMH trainees are allowed to test three times.
• There is a 30-day waiting period between exams.
• You will be notied of the scheduling process via email once your examination reregistration is approved.
Send To:
About Reregistration
Signature: Date:
First Name: MI:
Address:
Last Name:
City: State: ZIP Code:
Home Telephone: Work Telephone:
Email: Date of Birth:
NO YES
Have you previously taken the TMH examination?
If YES, indicate date(s) of exam:
month, day, year
month, day, year
Testing Questions? credentialinfo@cce-global.org • cce-global.org
Female:
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Exam Reregistration EDUCATION CREDENTIALING Telemental Health CENTER FOR (Center for Credentialing & Education)

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Completed 26 May 2021

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