CHCM - Certified Hazard Control Manager / CHSP - Certified Healthcare Safety Professional / CPSO - Certified Patient Safety Officer 

CHEP - Certified Healthcare Emergency Professional / CPSM - Certified Product Safety Manager


Board Of Certified Hazard Control Management (BCHCM) 

173 Tucker Road, Suite 202

Helena, Alabama 35080

 

(Remit To Address: P.O. Box 1662   Pelham, Alabama 35124)

 

Executive Director: Jim Tweedy

Phone: 205-664-8412 Fax: 205-663-9541

Email: Information@chcm-chsp.org


 

Certifications | Philosophy and Objective |  Certification Levels and Requirements |  Exam Content |  Exam and Training Schedule
Certification Application |  Schedule of Fees |  Publications-Study Guides | On-line Directories |  Re-Certification |  Downloadable Forms Home 

Downloadable Forms

 

Quick links to downloadable forms:

 

 

* CHSP/CHCM/CPSO/CPSM/CHEP - Standard application form:

Application.pdf

 

 

* CHSP/CHCM/CPSO/CPSM/CHEP - Reference forms (2 references required)

Reference_eval.pdf

 

 

* CHSP Re-certification form (Re-certify every 5 years / $35.00 Fee)

Re-certification Form

 

 

* CPSO Re-certification form (Re-certify every 3 years / $35.00 Fee)

Re-certification Form

 

 

* Proctor Form For Self-Study Candidates:

Proctorform.pdf