Renewal Attestation Form "*" indicates required fields Credential renewals are due by April 1st each year. You may renew anytime throughout the calendar year.Section 1: Graduate InformationWhich certificate do you need to renew?*Check all that apply. OSHA HIPAA Name* First Last Phone*Email* Enter Email Confirm Email Section 2: Renewal ActivityThe following are the approved categories for the renewal process. Graduates need to submit a minimum of 3 continuing education hours for each credential that is being renewed (e.g.: 3 hours for OSHA and 3 hours for HIPAA). Hours must be reported in a minimum of 0.5 contact hour increments. Reminder: All renewal activities must be current within the previous 12 consecutive months and pertain to the credential you are renewing, such as OSHA or HIPAA. GROWTH CATEGORIES: Educational program. Attendance at a live or live remote course including participation in lectures, workshops or educational sessions. Self-study program. Program approved by an industry-recognized continuing education provider, such as ADA CERP provider or ADG PACE provider. This category includes recorded webinars, audio conferences and online CE programs. Speaking/presenting: Provide a professional presentation at an educational meeting, conference or study club including an in-office training. Authorship: Publish an article or book chapter that is a minium of 750 words in an industry-related publication with at least a readership of 1,000.Select the category(s) you wish to submit.Choose all that apply. Educational program Self-study program Speaking/presenting Authorship Length of article or name of publicationLength of Education Program (in hours)CREDENTIAL SPECIFIC CATEGORIES:Reminder:* For your 2024 renewal, you do not need to complete this section. This section is informational only and will apply to your April 1, 2025 renewal process. HIPAA CertificatesI receive the OCR newsletter. https://www.hhs.gov/hipaa/for-professionals/list-serve/index.html I have watched 2-3 OCR YouTube videos this past year. https://www.youtube.com/@HHS OSHA Certificates I signed up for the OSHA newsletter. https://www.osha.gov/quicktakes/ I watched 2-3 OSHA videos this past year. https://www.osha.gov/video/Educational Program ActivityTitle of Education ProgramLocation of ActivityDate of Activity MM slash DD slash YYYY OSHA CEsHIPAA CEsDescriptionSelf-Study Program ActivityTitle of Self Study ProgramSponsor of ActivityDate of Activity MM slash DD slash YYYY OSHA CEsHIPAA CEsDescriptionSpeaking/Presenting ActivityTitle of Speaking PresentationLocation of ActivityDate of Activity MM slash DD slash YYYY OSHA CEsHIPAA CEsDescriptionAuthorship ActivityTitle of ArticleName of Newsletter, Magazine or PublicationDate of Activity MM slash DD slash YYYY OSHA CEsHIPAA CEsDescriptionSection 3: Renewal AttestationRenewal Attestation* I agree to the following: By entering my full name in the space below and transmitting this electronically, I verify that I am the person I represent myself to be, and I affirm the information in this renewal form is true and accurate. My DCI membership is current and in good standing. I attended 3 or more Master Mind meetings this past year.(You have 12months to complete the requirement. It becomes effective for your 2025 renewal.) I fully understand that misrepresenting any information in this renewal process may result in loss of membership and the ability to use the DCI credentials. Full Name:*HIPAA Credential Renewal Fee* Price: OSHA Credential Renewal Fee* Price: Total EmailThis field is for validation purposes and should be left unchanged.
