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Requirements & Fees
Verify A Credential
Education Review Form
Exam Verification Form
Name Change Form
PCB Career Ladder
Test Taking Skills
Education Approval and Provider Status Forms
CCHW Training Accreditation Application
Guidelines for Filing an Ethics Complaint
Ethics Complaint Form
REQUIREMENTS FOR THE ORGANIZATION
Education eligible for PCB approval must be relevant to the field of behavioral health or community health.
Education must use a formal structure.
Education must occur in Pennsylvania unless the organization is an online education provider.
Each training must be submitted using the Education Approval Form. Note: there are two Education Approval Forms depending on the type of training you are submitting – in person or online.
PROVIDER STATUS AGREEMENT TERMS & CONDITIONS
The agreement period is one-year.
Trainings cannot carryover into another year if they are not used.
A predetermined, non-refundable fee is set by PCB for review of trainings. The fee is paid at the beginning of the agreement.
Upon review and approval of the agreement, the organization will receive an assigned PCB Provider Status number which will be used and referred to throughout the one-year agreement period.
The organization must establish one contact person who will correspond with PCB. This will be the only person whom PCB will provide information to regarding training approval and is the only person who should submit training approval applications to PCB.
Prior to the end of the agreement year, information on renewing your Provider Status will be sent to the contact person.
Type of Provider Status Application:
- None -
Provider Status Number (Renewal Only):
Contact Person Email:
Terms & Conditions Agreement:
- None -
Select the category for the number of trainings your organization will submit for PCB approval:
- None -
21 & Above: $700