Contacts
Board of Certification of Community Health Workers
The Details
What you need
Review Requirements: 272 CMR 7.00: Continuing Education
Individual CE Program Application
- A description of each Certified Community Health Worker (CHW) training, including the topics covered, the amount of time given to each topic and how the training is related to the role of a CHW
- Number of continuing education credits requested for the training with any of the following; a syllabus, outline, flyer, agenda and objective or transcript for the training
- A copy of the certificate given for successful completion of the training or email verification of completion of the training from the training organization
Training Entity CE Program Application
- A description of each Certified Community Health Worker (CHW) training including the topics covered, the amount of time given to each topic and how the training is related to the role of a CHW.
- Number of continuing education credits requested for the training with a syllabus, outline and objectives or transcript for the training.
- A copy of the certificate given for successful completion of the training.
- Instructor(s) resume(s)/bio(s)
How to apply
Mail all required materials to:
Bureau of Health Professions Licensure
Board of Certification of Community Health Workers
250 Washington Street
Boston, MA 02108
For further information, please contact the Board office at (800) 414-0168 or (617) 973-0806
By email
Email all required materials to: tracy.tam2@mass.gov
Downloads
Open PDF file, 182.33 KB,
CHW CEU Application Individual
(English, PDF 182.33 KB)
Open DOCX file, 25.93 KB,
CHW CEU Application Individual
(English, DOCX 25.93 KB)
Open PDF file, 181.83 KB,
CHW CEU Application Training Entity
(English, PDF 181.83 KB)
Open DOCX file, 26.42 KB,
CHW CEU Application Training Entity
(English, DOCX 26.42 KB)
Open DOC file, 33.5 KB,
CHW Sample CE Certificate of Training Completion
(English, DOC 33.5 KB)
Open PDF file, 111.37 KB,
CHW Sample CE Certificate of Training Completion
(English, PDF 111.37 KB)
Contact
Address
250 Washington Street, Boston, MA 02108
Phone
Fax
(617) 973-0980