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Genetic Counselor Licensure Continuing Education Declaration. CDPH 4488 - cdph ca-2026
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- Click ‘Get Form’ to open the Genetic Counselor Licensure Continuing Education Declaration in the editor.
- Begin by entering your name, license number, and expiration date at the top of the form. Ensure all information is accurate.
- In Part 1, list all approved NSGC Category 1 continuing education activities attended. Fill in the program date(s), sponsor, title of the program, number of CEUs earned, and contact hours for each entry.
- Repeat the process in Part 2 for NSGC Category 2 continuing education activities. Make sure to check that you have a minimum of thirty (30) NSGC Category 1 CEU contact hours and a total of at least forty-five (45) CEU contact hours.
- At the bottom of each page, sign and date your declaration to certify that the information provided is true and correct. Remember that each page must have a signed statement.
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