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The Case Management Society of Australia and New Zealand and Affiliates
(CMSA) Certification sets the benchmark of excellence in case management.
Certified Practising Case Managers™ (CPCM) and Certified Case Managers
(Non Practising)™ (CCMNP) adhere to the CMSA National Standards and
National Code of Ethics for Case Management and are recognised for their
advanced education, experience, knowledge and skills by their colleagues,
consumers and employers.
The Case Management Society of Australia and New Zealand and Affiliates (CMSA) Certification sets the benchmark of
excellence in case management. Certified Practising Case Managers™ (CPCM) and Certified Case Managers (Non Practising)™
(CCMNP) adhere to the CMSA National Standards and National Code of Ethics for Case Management and are recognised for
their advanced education, experience, knowledge and skills by their colleagues, consumers and employers.
COPYRIGHT © 2017 Case Management Society of Australia and New Zealand and Affiliates (CMSA)
Total time of all PTD activities as
claimed on Form A:
Please record the total sum of
hours and/or minutes for all PTD
activities you have recorded and
claimed on each Form A. Please
note you are required to have
accumulated a minimum of 72
hours of PTD in the last 3 years to
support your application.
Declaration:
I solemnly and sincerely declare that the information I have
provided is true and correct to the best of my knowledge and belief.
I acknowledge that I must have accumulated a minimum of 72
hours of PTD activities as a pre-requisite to be eligible to apply for
recognition as a Certified Case Manager™ pursuant to my
nominated vocational pathway.
Signature:
_________________________________________
Date:
Attachment 3 - Professional Training and Development (PTD) Form B – Page 2 of 2
EXAMPLE ONLY