Get the free BCMHC Renewal Application Attestation and Agreement Form - Revised 7-21-22

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BC MHC RENEWAL APPLICATION, ATTESTATION, AND AGREEMENT Thank you for your interest in maintaining a BC MHC credential through the renewal process. Please complete and PRINT all information that is

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How to fill out bcmhc renewal application attestation

01

Obtain the BCMHC renewal application attestation form.

02

Fill out the personal details section such as name, address, contact information, and date of birth.

03

Provide information regarding your current mental health condition and any treatment you are receiving.

04

Sign and date the attestation form, certifying that the information provided is true and accurate.

05

Submit the completed form to the BCMHC for processing.

Who needs bcmhc renewal application attestation?

01

Individuals who are seeking to renew their mental health certification with the BCMHC.

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What is bcmhc renewal application attestation?

bcmhc renewal application attestation is a form where providers attest to the accuracy of the information provided and commit to complying with all applicable laws and regulations.

Who is required to file bcmhc renewal application attestation?

All providers participating in the bcmhc program are required to file bcmhc renewal application attestation.

How to fill out bcmhc renewal application attestation?

Providers must complete the form by providing accurate information, signing the attestation, and submitting it before the deadline.

What is the purpose of bcmhc renewal application attestation?

The purpose of bcmhc renewal application attestation is to ensure providers are in compliance with program requirements and regulations.

What information must be reported on bcmhc renewal application attestation?

Providers must report information such as their contact details, services provided, compliance with regulations, and any changes since the last renewal.

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