Get Provider Request For Course Approval - California Department Of ... - Cdph Ca

Filling out the Provider Request For Course Approval form accurately is essential for receiving NHAP credit for your course. This guide provides a step-by-step breakdown of how to complete the form online, ensuring that you meet all requirements efficiently.

Follow the steps to complete the form online successfully.

1. Click ‘Get Form’ button to access the Provider Request For Course Approval form and open it in the designated online editor.
2. Enter the provider’s name in the designated field to identify the individual or organization requesting course approval.
3. Provide the provider number, which serves as a unique identifier for your application.
4. Fill in the telephone number to ensure that NHAP can contact you regarding your course approval status.
5. Complete the address of record, including number and street name, city, state, and zip code.
6. Input the title of the course clearly to represent what the course entails.
7. Specify the dates that the course will be offered, which is critical for the approval process.
8. Indicate the total class hours, ensuring that you comply with NHAP requirements.
9. Select the type of offering (e.g., semester, lecture, workshop) to clarify the format of the course.
10. Provide a detailed outline of lecture/course content to give assessors a clear understanding of what the course will cover.
11. Enter information regarding P credit topics, including relevant categories and hours requested.
12. Fill in the variable hours that a participant can receive, specifying minimum and maximum hours.
13. List any prerequisites for participants to ensure they meet the course requirements.
14. Provide fees for the course and input instructor’s educational background and teaching experience, especially related to long-term care.
15. Offer a brief description of the course using bullet points for clarity.
16. Detail the teaching methods that will be employed to instruct the course.
17. Outline course content in an hour-by-hour agenda format for clarity.
18. Describe the method of course evaluation by students to understand how the course's effectiveness will be assessed.
19. Provide your signature and date to validate the application.
20. Once all fields are completed, review the form for accuracy before submitting. Finally, you can save changes, download, print, or share the form as needed.

Complete your Provider Request For Course Approval form online today to ensure timely processing.