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- Click ‘Get Form’ to open the California Hemodialysis Technician Renewal Application in the editor.
- Begin by filling in your personal information, including your last name, first name, middle initial, sex, address, city, state, date of birth, driver’s license number, telephone number, and social security number. Ensure accuracy as this information is crucial for processing your application.
- If applicable, indicate any name changes and provide legal proof of the change. This is essential for maintaining accurate records.
- Answer the questions regarding any adverse actions taken against you by health-related licensing authorities and confirm completion of thirty hours of In-Service Training/CEUs. Attach copies of certificates as proof.
- Finally, sign and date the application to certify that all information provided is true and correct before submitting it through our platform.
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