Breining Institute
Est 1986
Breining Institute
Est 1986

Credential Renewal Application: Online

Instructions

Your advanced and specialty credentials from Breining Institute demonstrate your commitment to providing quality care to your clients, beyond the basic certification or license you may need to work in your State or other jurisdiction.

  • You may use this form to RENEW all of your Breining Institute credentials up to one year prior to your renewal date.
  • You may also UPGRADE your current RAS and/or CCMI Credentials at the same time you renew, using this form.
  • Please be prepared to upload a copy of a government-issued ID card and a recent passport-type photo of yourself (facing forward, no hats or sunglasses).

Renewal Fee Options:

  • ON-TIME RENEWAL:
    • $275 – If you are renewing on-time, you will pay the one renewal fee to renew all of your credentials. Renewal is for a two-year period from the date of your current credential. You may renew credentials up to one year before your renewal date.
  • LATE RENEWAL:
    • $375 – If you are renewing late, you will pay the one fee to renew all of your credentials. Renewal is for a two-year period from the date that we renew your credential.

Optional Discount for CE Completion:

  • $50 discount is available if you have completed a Breining Institute 30-hour or 40-hour CE Bundle for this renewal.
  • You may complete the same Bundle that you completed for a previous renewal. For example, if you completed the Telehealth Bundle for a previous credential renewal, you may complete the Telehealth Bundle, again, for this renewal.
  • If you have not already completed a 30-hour CE Bundle, they are available at this link: Online Continuing Education (CE)

IMPORTANT NOTICE TO CALIFORNIA COUNSELORS: Renewal of your internationally-awarded Breining Institute credentials is separate from the requirement for California SUD counselors to be registered or maintain entry-level certification with CADTP, CAADE or CCAPP.

Applicant Info

Credential Holder Information

Please re-enter your email address here

ID and Photo

Government-issued ID Card Upload

  • Upload a copy of an identification card which includes your photo, such as a drivers license or passport or similar ID card that is issued by a government agency.
  • The copy of the ID should be in PDF or JPG format.
  • This ID card will be used for our internal identification verification purposes only.

If you are unable to upload a copy of your ID card here, please send it to us by email at college@breining.edu


Current Photograph Upload

  • Upload a current photo of you.
  • Photo must be in color.
  • Facing forward, look straight to the camera.
  • No hats or sunglasses.
  • The photo may be taken using your smart phone or similar device.

If you are unable to upload the photo here, please send it to us by email at college@breining.edu

This photo will be used on our publicly-accessible website page that verifies the award of your credential(s), and we will include it on your credential renewal certificate. In consideration of issuance of the credential referenced in this application, you expressly agree that the photo you submit and your likeness contained therein may be included in the Breining Institute “International Credential Verification (ICV) System” and posted on the credential verification pages of Breining Institute websites. By submitting the photo, you hereby release and discharge Breining Institute from any and all actions, claims and demands of any nature which you may have at any time now or in the future arising out of or related to the rights to the photo granted herein or your likeness.

Employment Info

Employment Information

  • This will include the organization or individuals that currently employ you, or if you're unemployed or retired, where you previously worked most recently.
  • This may include either a paid or volunteer position.
  • If you are an independent practitioner, or otherwise self-employed, provide the primary contact information for your business.

Credential Info

Credential Information and Attestations
Please select all credentials that you currently hold.
You may request an upgrade of your current RAS or CCMI credentials at the same time that you submit this renewal. There is no additional fee to upgrade your RAS or CCMI Credentials to a higher level. Please select the advanced credential(s) you are seeking:

RAS II – requires

  • AA Degree in healing arts or sciences and 3 years clinical experience; or
  • 450 hours formal AOD education and 5 years clinical experience; or
  • Seven (7) years clinical experience (must have a minimum of 155 hours formal AOD education).

RAS III – requires

  • BA Degree in healing arts or sciences and 3 years clinical experience; or
  • AA Degree in healing arts or sciences and 5 years clinical experience; or
  • Eight (8) years clinical experience (must have a minimum of 155 hours formal AOD education).

M-RAS – requires

  • MA or Doctorate Degree in healing arts or sciences and 3 years clinical experience; or
  • BA Degree in healing arts or sciences and 5 years clinical experience; or
  • Ten (10) years clinical experience (must have a minimum of 155 hours formal AOD education).

CCMI-A – requires the CCMI i Credential, plus:

  • Completion of specified 5 Modules (at least 125 hours) CCMI training course; and,
  • Pass CCMI Credential exam administered online by Breining Institute.

CCMI:

  • CCMI-Associate may apply for full CCMI Credential after completing 3,000 hours of supervised experience, over a minimum of two years, after registering as a CCMI-Intern.

CCMI-M – requires the CCMI Credential, plus any one of the following:

  • At least five (5) years health care professional clinical experience;
  • At least two (2) years health care professional clinical experience after having been awarded the CCMI Credential; or
  • A Masters or Doctorate Degree in the healing arts.
If you are seeking to upgrade a current credential, please upload documentation of the qualifying formal education (such as a diploma or transcripts) and/or clinical experience (such as letters from your employers) to verify your eligibility for the advanced credential. Please upload your documents here by selecting the "Browse" or "Choose File" button below and selecting the file(s) on your computer that you would like to submit. You may submit up to 3 documents.

If you are unable to upload the documents using this online form, you may send them to us by attaching them to an email, using the following:

Email: College@Breining.edu

CE Completion

I attest that I have or will complete the required CE courses for the applicable certification(s) by my current renewal date.
Optional Discount

If you have completed one of the Breining Institute 30-hour Continuing Education (CE) Bundles for this renewal (or previously completed a Breining Institute 40-hour CE Bundle), we will discount your Credential renewal fee by $50.

Here are the eligible 30-hour and 40-hour Bundles:

  • 30-hour Telehealth Bundle
  • 30-hour International Bundle
  • 30-hour Veterans Bundle
  • 30-hour Nurses Bundle
  • 40-hour Global Bundle
  • 40-hour California Bundle

All of the 30-hour Bundles are available on the Breining Institute website at this link: Online Continuing Education (CE)

If you are requesting the discount, please upload a copy of the Completion Certificate that you received by email from Breining Institute when you completed the course. The certificate is a PDF document, and you may upload the certificate here by selecting the "Browse" or "Choose File" button below and selecting the PDF file on your computer that you would like to submit.

If you are unable to upload the CE Completion Certificate using this online form, you may send it to us by attaching it to an email, using the following:

Email: College@Breining.edu

Payment Info

Payment Information
Credit Card Charge Authorization
You are authorizing Breining Institute to charge the renewal option amount you are selecting, below.
If applicable, a $50 discount will be applied if you have completed a Breining Institute 30-hour or 40-hour) CE Bundle for this renewal, and have uploaded a copy of the Completion Certificate.

Please be careful to input all information carefully if you are authorizing a credit card charge now, in order to for us to promptly process your renewal.

By submitting this form, I attest that the information I have provided above is true and authentic. I authorize Breining Institute to charge the above-selected amount, minus the CE discount if applicable, to the credit card indicated. I attest that I will adhere to the applicable Code of Ethics, Code of Conduct, and Scope of Practice related to my credential. I understand that if at any time it is determined that the information provided is materially misrepresented, any fees which have been paid will be forfeited, and registration, certifications and/or credentials may be revoked.

Please carefully use this space to sign your name, which must match the signature we have on record in your credential file.
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