* = Required Information

* I certify that I have completed the required Care Provider Training and have sent evidence of such with a check made out to ‘ACSAH’ for the $100 certification fee.

(NOTE: The address to mail your check and training evidence is located on our “Contact Us” page)

* I certify that I will uphold the ACSAH Code of Ethics while providing care services to my community

Once you click submit we will contact your training organization and verify the above information - and then issue your CSCA Certificate. This process usually takes 30 days.

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* = Required Information