Renewal Form for 2 ATP Qualifications

Please use this form if you are:

Renewing 2 C.H.E.K Institute Advanced Training Program Qualifications, both completed before December 15, 2014.

  • Your renewal is due by December 15, 2016.
  • Submit 30 PDCs for each ATP; 15 or more PDCs from Group A and no more than 15 PDCs from Group B for each ATP.
  • See page 5 of the 2016 Renewal Guidelines for the definition of PDC Groups.

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Renewing 2 C.H.E.K Institute Advanced Training Program Qualifications, one completed before Dec. 15, 2014 & one after Dec. 15, 2014.

  • Your renewal is due by December 15, 2016.
  • Submit 30 PDCs for the ATP completed before Dec. 15, 2014; 15 or more PDCs from Group A and no more than 15 PDCs from Group B AND submit 15 PDCs from Group A for the ATP completed after Dec. 15, 2014.
  • See page 5 of the 2016 Renewal Guidelines for the definition of PDC Groups.

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Renewing 2 C.H.E.K Institute Advanced Training Program Qualifications, both completed after December 15, 2014, but before December 15, 2015.

  • Renewal due by December 15, 2016.
  • Submit 15 PDCs from Group A for each ATP.
  • See page 5 of the 2016 Renewal Guidelines for the definition of PDC Groups.

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DO NOT use this form if you are:

Renewing 2 C.H.E.K Institute Advanced Training Program Qualifications both completed after December 15, 2015.

  • No Renewal due now.
  • You are current to 2018 and don’t need to complete this form.

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Renewing just 1 C.H.E.K Institute Advanced Training Program Qualification.