Addiction Counselor Exam (ACE) Request


  • Please fill out this form completely. Incomplete forms will delay processing.
  • We need a current photo to make this application complete. If you are unable to upload a current photo with this form (below), you may submit it to us by postal mail or email.
  • The $175 exam fee is non-refundable, and does not include retake exams (if needed).
  • Exam must be scheduled and taken within one month, or exam fee will be forfeited.
  • If the ACE Exam candidate does not take the exam on the scheduled date without advanced rescheduling of the exam, the exam fee will be forfeited, and the candidate will need to submit a new exam request and exam fee to reschedule the exam.

Link to study material, online tutorial

Questions?

Please call Breining Institute at 916-987-2007, or contact us by email by selecting this link: Email

 

Section 1: ACE Exam Candidate Information
Please only include the last 4 digits (numbers) of your Social Security Number. If you do not have a Social Security Number, please include the last four digits of another government identification card, and identify which government identification you are using.
We must have a current photo of the ACE Exam candidate, which will be used to verify identification of candidate at the time of the exam. You may upload it as a document with any one of the following extensions: JPG, JPEG, PNG or GIF. If you are unable to upload a photo here, please send to Breining Institute by postal mail or email attachment.
Section 2: Certification or License
Section 3: Other licenses or certifications
This will assist us in awarding the highest level RAS Credential possible. Please include a copy of your license/certificate. This includes Registered Nurse (RN); Marriage and Family Therapist (MFT); Licensed Clinical Social Worker (LCSW); Medical Doctor (MD); and other similar licenses and/or certifications.
If you identified a certificate or license, above, please upload a copy of it here. You may upload it as a document with any one of the following extensions: JPG, JPEG, PNG, GIF, DOC or DOCX. If you are unable to upload the certificate or license here, please send it to us by postal mail or email.
Section 4: Credit Card and Payment Information

Includes examination, only. Does not include retake exams (if needed). Exam fee is nonrefundable. Exam must be scheduled and taken within three months of submitting this exam request. If the ACE Exam candidate does
not show up for the scheduled exam time without advanced rescheduling of the exam, the exam fee will not be refunded, and the candidate will need to submit a new exam request and exam fee to reschedule the exam.