Please download the appropriate application form and save it to your hard drive prior to completing.

CSPHC Application
CSPHP Application
CSPHA Application

Click here to Download Adobe PDF Reader to fill and sign the Application PDF files.

Applications must be completed in their entirety and submitted via email to info@csphp.org.  Incomplete applications or applications not completed according to certification requirements will be returned for resubmission.   Applications that are not submitted on approved forms will be rejected.

Please read the Handbook prior to application submission.
CSPHA Professional Development Hours Table
CSPHC Professional Development Hours Table
CSPHP Professional Development Hours Table