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.

You may also UPGRADE your current RAS and/or CCMI Credentials at the same time you renew, using this form.

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.
You may request an upgrade of your current RAS or CCMI credentials at the same time that you submit this renewal. There is no additional fee to upgrade your RAS or CCMI Credentials to a higher level. Please select the advanced credential(s) you are seeking:

RAS II – requires

  • AA Degree in healing arts or sciences and 3 years clinical experience, or
  • 450 hours formal AOD education and 5 years clinical experience

RAS III – requires

  • BA Degree in healing arts or sciences and 3 years clinical experience, or
  • AA Degree in healing arts or sciences and 5 years clinical experience

M-RAS – requires

  • MA or Doctorate Degree in healing arts or sciences and 3 years clinical experience, or
  • BA Degree in healing arts or sciences and 5 years clinical experience

CCMI-M – requires the CCMI Credential, plus any one of the following:

  • At least five (5) years health care professional clinical experience;
  • At least two (2) years health care professional clinical experience after having been awarded the CCMI Credential; or
  • A Masters or Doctorate Degree in the healing arts.

If you are seeking to upgrade a current credential, please upload documentation of the qualifying formal education (such as a diploma or transcripts) and/or clinical experience (such as letters from your employers) to verify your eligibility for the advanced credential. Please upload your documents here by selecting the "Browse" or "Choose File" button below and selecting the file(s) on your computer that you would like to submit. You may submit up to 3 documents.

If you are unable to upload the documents using this online form, you may send them to us by attaching them to an email, or sending them by FAX or postal mail, using the following:

Email: College@Breining.edu

FAX: 916-987-8823

Postal mail:
Breining Institute
8894 Greenback Lane
Orangevale, California USA 95662-4019

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.