Get Genetic Counselor Licensure Continuing Education Declaration. Cdph 4488 - Cdph Ca

This guide provides a clear and detailed overview of how to properly fill out the Genetic Counselor Licensure Continuing Education Declaration, CDPH 4488, ensuring a smooth renewal process for your license. Follow the steps outlined to complete each section accurately.

Follow the steps to fill out the declaration form effectively.

1. Click the ‘Get Form’ button to obtain the Genetic Counselor Licensure Continuing Education Declaration and open it in your preferred editor.
2. Begin by filling in your name, license number, and expiration date at the top of the form. Ensure the information is accurate as it will be used for your application.
3. In Part 1, list allapproved National Society of Genetic Counseling (NSGC) Category 1 continuing education units (CEUs) attended during your current licensure period. Include the program date(s), sponsor, title of the program, number of CEUs earned, and the number of contact hours for each entry.
4. Total the contact hours declared in Part 1. Confirm that you have at least thirty (30) NSGC Category 1 CEU contact hours.
5. In Part 2, similarly list all approved NSGC Category 2 CEUs by providing the same required information for each educational activity attended.
6. Total the contact hours declared in Part 2.
7. Calculate the overall total of CEUs declared and ensure that you meet the minimum requirement of forty-five (45) CEU contact hours.
8. Sign and date the declaration to certify that the information provided is true and correct. Note that a signed statement of truth and accuracy is required on each page.
9. If additional space is needed, submit additional applications as indicated.
10. Finally, review all the information for completeness before saving your changes, then download, print, or share the form as necessary.

Complete your Genetic Counselor Licensure Continuing Education Declaration online today!