Credential Renewal Application: Online


Cred Renew Hd 160823.001 email

You may use this form to renew all of your Breining Institute credentials up to one year prior to your renewal date.

Use this online form to submit your renewal using a VISA, MasterCard or Discover credit card to pay for your renewal. If you prefer to pay for your renewal by check, please use the form at this link: Credential Renewal Application – Paper

SPECIAL NOTE TO CALIFORNIA COUNSELORS:
If you need to renew your California registration or CATC Certification, you should do so directly with CAADE at www.caade.org

Credential Holder Information
Please re-enter your email address here
Credential Information and Attestations
Please select all credentials that you currently hold.
I attest that I have or will complete the required CE courses for the applicable certification(s) by my current renewal date.
Have you had a prior certification or license as an alcohol or drug counselor, health care professional, or related certification or license revoked?
Payment Information

By submitting this form, I attest that the information I have provided above is true and authentic. I attest that I will adhere to the applicable Code of Ethics, Code of Conduct, and Scope of Practice related to my credential. I understand that if at any time it is determined that the information provided is materially misrepresented, any fees which have been paid will be forfeited, and registration, certifications and/or credentials may be revoked.