RENEWAL APPLICATION License No 2025

1. Click ‘Get Form’ to open the RENEWAL APPLICATION License No in the editor.
2. Begin by entering your Name, Address, City, State (MT), Zip Code, and Country (US) in the designated fields.
3. Select your license status as either Active ($200.00) or Inactive ($100.00) from the options provided.
4. Answer the disciplinary question at the bottom of the form to ensure compliance with state regulations.
5. Complete the CPR attest statement and provide your CPR expiration date if applicable.
6. Prepare a check or money order for the indicated amount made payable to the Board of Alternative Health Care; do not send cash.
7. Sign and date your renewal application to validate it before submission.
8. If selecting Inactive Status for the first time, ensure you return your current license as required.

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