CERTIFICATION MAINTENANCE COMPLIANCE FORM Instructions Print this form Complete all information Sign at the bottom Submit your form via mail or fax ASHA 2200 Research Blvd. 313 Rockville Maryland 20850 301-296-8569 Please provide current accurate information Check here if this is a new address Compliance Interval Check area s of certification ASHA ID CCC-A Name CCC-SLP Dual Previous Name s Used Address Street Daytime Phone City State Zip Evening Phone E-mail Affidavits Your signature on this form affirms that you have read the following statements and agree to abide by each statement 1. I affirm that the information provided on this Compliance form is accurate. 2. I affirm that in accordance with the Certification Standards I have participated in 30 Certification Maintenance Hours of professional development during my 3-year certification maintenance interval. 3. 313 Rockville Maryland 20850 301-296-8569 Please provide current accurate information Check here if this is a new address Co....
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How to fill out the Certification Maintenance Compliance Form Asha online
The Certification Maintenance Compliance Form Asha is essential for maintaining your certification status within the American Speech-Language-Hearing Association. This guide provides clear and detailed steps to complete the form online, ensuring that you provide all necessary information accurately. Follow these instructions to successfully fill out and submit your certification compliance form.
Follow the steps to complete your Certification Maintenance Compliance Form Asha online:
- Click the ‘Get Form’ button to access the Certification Maintenance Compliance Form Asha and open it in your preferred online editor.
- Complete all required fields on the form. This includes your ASHA ID, current address, name, and contact information including daytime and evening phone numbers, as well as your email.
- Indicate your compliance interval by checking the appropriate box for your area of certification: CCC-A, CCC-SLP, or Dual.
- If applicable, provide any previous names used to help verify your identity on the record.
- Review the affidavits section carefully. By signing the form, you affirm that the information is accurate, that you have met the Certification Standards, and that you adhere to the Code of Ethics. Ensure you read each statement thoroughly before signing.
- Sign and date the form where indicated to confirm your agreement with the statements and your compliance with all certification requirements.
- Once completed, save any changes to the document. You can then choose to download the form, print it for your records, or share it as needed.
Complete your Certification Maintenance Compliance Form Asha online today to maintain your certification status!
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How to maintain CCC SLP?
Maintaining your CCC for Speech-Language Pathology involves completing continuing education requirements every three years. You should also ensure you submit the appropriate documentation, including the Certification Maintenance Compliance Form Asha, to confirm your compliance with ASHA standards. By staying proactive in your professional development, you can continue to provide the best services to your clients.
How do you get your CCC for SLP?
To obtain your Certificate of Clinical Competence (CCC) for Speech-Language Pathology, you must complete a master's degree, a clinical fellowship, and pass the relevant Praxis exam. After meeting these prerequisites, submitting your application along with necessary documentation is essential. Consider using the Certification Maintenance Compliance Form Asha for ongoing tracking and maintenance of your credentials.
What is the ASHA maintenance compliance form?
The ASHA maintenance compliance form is a document that helps professionals track their continuing education activities and confirm compliance with certification standards. By completing this form, you can ensure that you have fulfilled the necessary requirements for maintaining your ASHA certificate. It is a vital tool for staying organized and up-to-date in your professional journey.
Do I have to use the ASHA CE registry?
While it is not mandatory to use the ASHA CE registry for tracking your continuing education, doing so simplifies the process. The registry helps you manage your earned credits and organize your professional development activities efficiently. By utilizing the Certification Maintenance Compliance Form Asha, you can further streamline compliance with your certification requirements.
What is the maintenance interval for ASHA certification?
The maintenance interval for ASHA certification requires professionals to complete continuing education units every three years. This helps ensure that you stay current with developments in your field and maintain your professional qualifications. Using the Certification Maintenance Compliance Form Asha can help track your progress and confirm that you meet the necessary criteria.
What is an ASHA certificate?
An ASHA certificate is granted by the American Speech-Language-Hearing Association, indicating that a professional has met the necessary education and clinical requirements in speech-language pathology or audiology. This certification enhances your credentials and ensures that you comply with industry standards. It is essential for practitioners looking to provide high-quality services in this field.
What documentation must you submit to ASHA as part of a certification maintenance audit if you participate in the ASHA CE registry?
If you are selected for the maintenance audit, you will be required to submit the following documentation to the ASHA National Office: Completed Certification Maintenance Record Keeping Form [PDF] Copy of a certificate of completion for each professional development activity completed.
Who is required to abide by the ASHA Code of Ethics?
Every individual who is (a) a member of the American Speech-Language-Hearing Association, whether certified or not, (b) a nonmember holding the Certificate of Clinical Competence from the Association, (c) an applicant for membership or certification, or (d) a Clinical Fellow seeking to fulfill standards for ...
What are the three components of the ASHA Code of Ethics?
The Code of Ethics reflects what we value as professionals and establishes expectations for our scientific and clinical practice based on principles of duty, accountability, fairness, and responsibility.
What are the 4 principles of ASHA?
The ASHA Code of Ethics reflects professional values and expectations for scientific and clinical practice. It is based on principles of duty, accountability, fairness, and responsibility and is intended to ensure the welfare of the consumer and to protect the reputation and integrity of the professions.
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