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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.
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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.
COPYRIGHT © 2017 Case Management Society of Australia and New Zealand and Affiliates (CMSA)
Attachment 10 - Re-endorsed Certified Case Manager™ - Professional Training and Development (PTD) Form - Page 2 of 2
Total time of all PTD activities:
Please record the total sum of
hours and/or minutes for all PTD
activities. Please note you are
required to have accumulated a
minimum of 24 hours of PTD in the
last 3 years to support your re-
endorsement application.
Comments:
Optional: Please add any additional
information or comments in relation
to any numbered PTD activity that
you consider relevant for the
attention of the CMSA.
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 24
hours of PTD activities as a pre-requisite to be eligible to apply for
re-endorsement as a Certified Case Manager™ pursuant to my
original endorsement (i.e. registration) with the CMSA.
Signature:
_________________________________________
Date:
EXAMPLE ONLY