www.netce.com Open in urlscan Pro
2600:1f1c:e9b:c8f3:7c83:f8db:4b5f:9e14  Public Scan

Submitted URL: http://netce.com/
Effective URL: https://www.netce.com/
Submission: On November 02 via manual from US — Scanned from DE

Form analysis 3 forms found in the DOM

POST /search.php

<form novalidate="novalidate" class="search_form" id="search_form" method="post" action="/search.php">
  <fieldset data-form-section="">
    <div class="rdo-iln">
      <span class="tp-lbl">Search by: </span>
      <label for="optionsRadios1" class="radio lbl-txt">
        <input type="radio" name="type" id="optionsRadios1" value="specials" class="chkb-lrg value-added" tabindex="7" data-ignored="" checked="checked" data-old-val="specials"> Special Offer </label>
      <label for="optionsRadios2" class="radio lbl-txt">
        <input type="radio" name="type" id="optionsRadios2" value="courses" data-ignored="" class="chkb-lrg value-added" data-old-val="courses"> Course List </label>
    </div>
    <!-- Start Error Section for State and Profession validation -->
    <div class="error-placeholder" id="error_2"><!----></div>
    <!-- End Error Section for State and Profession validation -->
    <div class="control-group">
      <!-- |||||| -->
      <div class="select2-container ga_s" id="s2id_state_select" style="width: 100%;">
        <a href="javascript:void(0)" class="select2-choice select2-default" tabindex="-1">   <span class="select2-chosen" id="select2-chosen-1">Select Your State or Jurisdiction</span><abbr class="select2-search-choice-close"></abbr>   <span class="select2-arrow" role="presentation"><b role="presentation"></b></span></a><label
          for="s2id_autogen1" class="select2-offscreen"></label><input class="select2-focusser select2-offscreen" type="text" aria-haspopup="true" role="button" aria-labelledby="select2-chosen-1" id="s2id_autogen1" tabindex="8">
        <div class="select2-drop select2-display-none select2-with-searchbox">
          <div class="select2-search"> <label for="s2id_autogen1_search" class="select2-offscreen"></label> <input type="text" autocomplete="off" autocorrect="off" autocapitalize="off" spellcheck="false" class="select2-input" role="combobox"
              aria-expanded="true" aria-autocomplete="list" aria-owns="select2-results-1" id="s2id_autogen1_search" placeholder=""> </div>
          <ul class="select2-results" role="listbox" id="select2-results-1"> </ul>
        </div>
      </div><select name="jurisdiction" id="state_select" class="ga_s select2-offscreen" tabindex="-1" data-placeholder="Select Your State or Jurisdiction" data-field-type="state" required="required" title="">
        <option value="" disabled="disabled" selected="selected"><!----></option>
        <option value="AL" data-match="AL">Alabama</option>
        <option value="AK" data-match="AK">Alaska</option>
        <option value="AS" data-match="AS">American Samoa</option>
        <option value="AZ" data-match="AZ">Arizona</option>
        <option value="AR" data-match="AR">Arkansas</option>
        <option value="BS" data-match="BS">Bahamas</option>
        <option value="CA" data-match="CA">California</option>
        <option value="CO" data-match="CO">Colorado</option>
        <option value="CT" data-match="CT">Connecticut</option>
        <option value="DE" data-match="DE">Delaware</option>
        <option value="DC" data-match="DC">District of Columbia</option>
        <option value="FL" data-match="FL">Florida</option>
        <option value="GA" data-match="GA">Georgia</option>
        <option value="GU" data-match="GU">Guam</option>
        <option value="HI" data-match="HI">Hawaii</option>
        <option value="ID" data-match="ID">Idaho</option>
        <option value="IL" data-match="IL">Illinois</option>
        <option value="IN" data-match="IN">Indiana</option>
        <option value="IA" data-match="IA">Iowa</option>
        <option value="KS" data-match="KS">Kansas</option>
        <option value="KY" data-match="KY">Kentucky</option>
        <option value="LA" data-match="LA">Louisiana</option>
        <option value="ME" data-match="ME">Maine</option>
        <option value="MH" data-match="MH">Marshall Islands</option>
        <option value="MD" data-match="MD">Maryland</option>
        <option value="MA" data-match="MA">Massachusetts</option>
        <option value="MI" data-match="MI">Michigan</option>
        <option value="FM" data-match="FM">Micronesia</option>
        <option value="MN" data-match="MN">Minnesota</option>
        <option value="MS" data-match="MS">Mississippi</option>
        <option value="MO" data-match="MO">Missouri</option>
        <option value="MT" data-match="MT">Montana</option>
        <option value="NE" data-match="NE">Nebraska</option>
        <option value="NV" data-match="NV">Nevada</option>
        <option value="NH" data-match="NH">New Hampshire</option>
        <option value="NJ" data-match="NJ">New Jersey</option>
        <option value="NM" data-match="NM">New Mexico</option>
        <option value="NY" data-match="NY">New York</option>
        <option value="XX" data-match="XX">Non-US</option>
        <option value="NC" data-match="NC">North Carolina</option>
        <option value="ND" data-match="ND">North Dakota</option>
        <option value="MP" data-match="MP">Northern Marianas</option>
        <option value="OH" data-match="OH">Ohio</option>
        <option value="OK" data-match="OK">Oklahoma</option>
        <option value="OR" data-match="OR">Oregon</option>
        <option value="PW" data-match="PW">Palau</option>
        <option value="PA" data-match="PA">Pennsylvania</option>
        <option value="PR" data-match="PR">Puerto Rico</option>
        <option value="RI" data-match="RI">Rhode Island</option>
        <option value="SC" data-match="SC">South Carolina</option>
        <option value="SD" data-match="SD">South Dakota</option>
        <option value="TN" data-match="TN">Tennessee</option>
        <option value="TX" data-match="TX">Texas</option>
        <option value="US" data-match="US">US Nationally-Certified</option>
        <option value="UT" data-match="UT">Utah</option>
        <option value="VT" data-match="VT">Vermont</option>
        <option value="VA" data-match="VA">Virginia</option>
        <option value="VI" data-match="VI">Virgin Islands</option>
        <option value="WA" data-match="WA">Washington</option>
        <option value="WV" data-match="WV">West Virginia</option>
        <option value="WI" data-match="WI">Wisconsin</option>
        <option value="WY" data-match="WY">Wyoming</option>
      </select>
    </div>
    <!-- Profession Message Area -->
    <div id="prof-mes"><!----></div>
    <div class="control-group">
      <div class="professionid_block">
        <div class="select2-container" id="s2id_professionid" style="width: 100%;">
          <a href="javascript:void(0)" class="select2-choice select2-default" tabindex="-1">   <span class="select2-chosen" id="select2-chosen-2">Select Your Profession or Title</span><abbr class="select2-search-choice-close"></abbr>   <span class="select2-arrow" role="presentation"><b role="presentation"></b></span></a><label
            for="s2id_autogen2" class="select2-offscreen"></label><input class="select2-focusser select2-offscreen" type="text" aria-haspopup="true" role="button" aria-labelledby="select2-chosen-2" id="s2id_autogen2" tabindex="9">
          <div class="select2-drop select2-display-none select2-with-searchbox">
            <div class="select2-search"> <label for="s2id_autogen2_search" class="select2-offscreen"></label> <input type="text" autocomplete="off" autocorrect="off" autocapitalize="off" spellcheck="false" class="select2-input" role="combobox"
                aria-expanded="true" aria-autocomplete="list" aria-owns="select2-results-2" id="s2id_autogen2_search" placeholder=""> </div>
            <ul class="select2-results" role="listbox" id="select2-results-2"> </ul>
          </div>
        </div><select data-field-type="profession" data-placeholder="Select Your Profession or Title" tabindex="-1" required="required" name="professionid" id="professionid" title="" class="select2-offscreen">
          <option value="" disabled="disabled" selected="selected" data-certifications="[]"></option>
          <option value="1" data-match="Nurses" data-certifications="[]">Nurse</option>
          <option value="10" data-match="Advanced Practice Registered Nurses" data-certifications="[]">Advanced Practice Nurse</option>
          <option value="2" data-match="Physicians" data-certifications="[]">Physician</option>
          <option value="11" data-match="Physician Assistants" data-certifications="[]">Physician Assistant</option>
          <option value="26" data-match="Pharmacists" data-certifications="[]">Pharmacist</option>
          <option value="27" data-match="Pharmacy Technicians" data-certifications="[]">Pharmacy Technician</option>
          <option value="4" data-match="Social Workers" data-certifications="[]">Social Worker</option>
          <option value="16" data-match="Counselors/Therapists" data-certifications="[]">Counselor/Therapist</option>
          <option value="5" data-match="Psychologists" data-certifications="[]">Psychologist</option>
          <option value="7" data-match="Case Managers" data-certifications="[]">Certified Case Manager</option>
          <option value="25" data-match="Certified Diabetes Educators" data-certifications="[]">Certified Diabetes Educator</option>
          <option value="17" data-match="Nursing Assistants" data-certifications="[]">Nursing Assistant</option>
          <option value="24" data-match="Certified Surgical Assistant" data-certifications="[]">Certified Surgical Assistant</option>
          <option value="6" data-match="CSTs/CSFAs" data-certifications="[]">CST/CSFA</option>
          <option value="23" data-match="Dental Assistants" data-certifications="[]">Dental Assistant</option>
          <option value="22" data-match="Dental Hygienists" data-certifications="[]">Dental Hygienist</option>
          <option value="3" data-match="Dentists" data-certifications="[]">Dentist</option>
          <option value="9" data-match="Nursing Home Administrators" data-certifications="[]">Nursing Home Administrator</option>
          <option value="20" data-match="Other/IACET" data-certifications="[]">Other/IACET</option>
          <option value="-1"> Select By Title </option>
        </select>
      </div>
    </div>
    <!-- Start Qualification Select -->
    <!-- Qualification Message Area -->
    <div id="qual-mes"><!--  --></div>
    <div class="control-group">
      <div class="qualificationid_block hidden">
        <div class="select2-container select2-container-disabled" id="s2id_qualificationid" style="width: 100%;">
          <a href="javascript:void(0)" class="select2-choice select2-default" tabindex="-1">   <span class="select2-chosen" id="select2-chosen-3">Select Your Professional Title</span><abbr class="select2-search-choice-close"></abbr>   <span class="select2-arrow" role="presentation"><b role="presentation"></b></span></a><label
            for="s2id_autogen3" class="select2-offscreen"></label><input class="select2-focusser select2-offscreen" type="text" aria-haspopup="true" role="button" aria-labelledby="select2-chosen-3" id="s2id_autogen3" tabindex="10" disabled="">
          <div class="select2-drop select2-display-none select2-with-searchbox">
            <div class="select2-search"> <label for="s2id_autogen3_search" class="select2-offscreen"></label> <input type="text" autocomplete="off" autocorrect="off" autocapitalize="off" spellcheck="false" class="select2-input" role="combobox"
                aria-expanded="true" aria-autocomplete="list" aria-owns="select2-results-3" id="s2id_autogen3_search" placeholder=""> </div>
            <ul class="select2-results" role="listbox" id="select2-results-3"> </ul>
          </div>
        </div><select data-field-type="qualification" data-placeholder="Select Your Professional Title" tabindex="-1" data-jurisdiction-selector="#state_select" required="required" name="qualificationid" id="qualificationid" disabled="" title=""
          class="select2-offscreen">
          <option value="" selected="selected"></option>
          <option value="-1" id="backtoprofession"> Go back to profession list </option>
          <optgroup label="Nurse" data-professionid="1">
            <option value="106" data-match="APRN" data-professionid="1" data-allowed-jurisdictions="[&quot;GA&quot;]">APRN - Advanced Practice Registered Nurse</option>
            <option value="6" data-match="CAPT" data-professionid="1" data-allowed-jurisdictions="[&quot;CA&quot;,&quot;NY&quot;]">CAPT - California Psychiatric Technician</option>
            <option value="55" data-match="FLSLP" data-professionid="1" data-allowed-jurisdictions="[&quot;FL&quot;]">FLSLP - Florida Speech/Language Pathologist</option>
            <option value="3" data-match="LPN" data-professionid="1" data-allowed-jurisdictions="[&quot;NH&quot;,&quot;WA&quot;]" data-hidden-jurisdictions="[&quot;CA&quot;,&quot;TX&quot;]">LPN - Licensed Practical Nurse</option>
            <option value="268" data-match="LPNV" data-professionid="1" data-allowed-jurisdictions="[&quot;MI&quot;]">LPNV - Licensed Practical Nurse Volunteer</option>
            <option value="267" data-match="RNV" data-professionid="1" data-allowed-jurisdictions="[&quot;MI&quot;]">RNV - Registered Nurse Volunteer</option>
            <option value="1" data-match="RN" data-professionid="1">RN - Registered Nurse</option>
            <option value="2" data-match="LVN" data-professionid="1" data-allowed-jurisdictions="[&quot;TX&quot;,&quot;CA&quot;]">LVN - Licensed Vocational Nurse</option>
            <option value="45" data-match="CHT" data-professionid="1" data-allowed-jurisdictions="[&quot;US&quot;]">CHT - Certified Hemodialysis Technician</option>
            <option value="54" data-match="CLP" data-professionid="1" data-allowed-jurisdictions="[&quot;US&quot;]">CLP - Clinical Laboratory Personnel</option>
            <option value="57" data-match="CCT" data-professionid="1" data-allowed-jurisdictions="[&quot;US&quot;]">CCT - Certified Cardiographic Technician</option>
            <option value="199" data-match="LMHT" data-professionid="1" data-allowed-jurisdictions="[&quot;KS&quot;]">LMHT - Licensed Mental Health Technician</option>
            <option value="91" data-match="TPN" data-professionid="1" data-hidden-jurisdictions="[&quot;US&quot;]">TPN - Temporary Nurse Permit</option>
            <option value="147" data-match="PHN" data-professionid="1" data-allowed-jurisdictions="[&quot;CA&quot;]">PHN - Public Health Nurse</option>
            <option value="157" data-match="PMH" data-professionid="1" data-allowed-jurisdictions="[&quot;CA&quot;]">PMH - Psychiatric Mental Health Nurse</option>
          </optgroup>
          <optgroup label="Advanced Practice Nurse" data-professionid="10">
            <option value="5" data-match="ARNP" data-professionid="10" data-allowed-jurisdictions="[&quot;WA&quot;,&quot;US&quot;]">ARNP - Advanced Registered Nurse Practitioner</option>
            <option value="88" data-match="CRNP" data-professionid="10" data-allowed-jurisdictions="[&quot;PA&quot;,&quot;AL&quot;]">CRNP - Certified Registered Nurse Practitioner</option>
            <option value="61" data-match="DTR" data-professionid="10" data-allowed-jurisdictions="[&quot;US&quot;]">DTR - Dietetic Technician, Registered</option>
            <option value="67" data-match="FLAP" data-professionid="10" data-allowed-jurisdictions="[&quot;FL&quot;]">FLAP - Florida Acupuncturist</option>
            <option value="77" data-match="FNP" data-professionid="10" data-allowed-jurisdictions="[&quot;US&quot;]">FNP - Family Nurse Practitioner</option>
            <option value="164" data-match="ND" data-professionid="10" data-allowed-jurisdictions="[&quot;US&quot;]">ND - Nutritionist, Dietician, Nutrition Counselor</option>
            <option value="60" data-match="RD" data-professionid="10" data-allowed-jurisdictions="[&quot;US&quot;]">RD - Registered Dietician</option>
            <option value="90" data-match="SA" data-professionid="10" data-allowed-jurisdictions="[&quot;US&quot;]">SA - Surgical Assistant</option>
            <option value="49" data-match="APRN" data-professionid="10"
              data-hidden-jurisdictions="[&quot;TX&quot;,&quot;MI&quot;,&quot;CO&quot;,&quot;AL&quot;,&quot;KY&quot;,&quot;PA&quot;,&quot;AZ&quot;,&quot;NJ&quot;,&quot;MN&quot;,&quot;NM&quot;,&quot;DE&quot;]">APRN - Advanced Practice Registered Nurse
            </option>
            <option value="158" data-match="CNP" data-professionid="10"
              data-hidden-jurisdictions="[&quot;GA&quot;,&quot;KS&quot;,&quot;TX&quot;,&quot;WV&quot;,&quot;MI&quot;,&quot;CO&quot;,&quot;KY&quot;,&quot;PA&quot;,&quot;MS&quot;,&quot;SC&quot;,&quot;FL&quot;,&quot;AZ&quot;,&quot;NJ&quot;,&quot;AK&quot;,&quot;DE&quot;,&quot;AL&quot;]">
              CNP - Certified Nurse Practitioner</option>
            <option value="53" data-match="NP" data-professionid="10" data-allowed-jurisdictions="[&quot;NY&quot;,&quot;KS&quot;,&quot;MS&quot;,&quot;TX&quot;,&quot;VA&quot;,&quot;MI&quot;]"
              data-hidden-jurisdictions="[&quot;AL&quot;,&quot;WV&quot;,&quot;AK&quot;,&quot;PA&quot;,&quot;FL&quot;,&quot;NJ&quot;,&quot;MN&quot;]">NP - Nurse Practitioner</option>
            <option value="59" data-match="CNS" data-professionid="10" data-hidden-jurisdictions="[&quot;GA&quot;,&quot;WV&quot;,&quot;FL&quot;,&quot;AK&quot;,&quot;NJ&quot;]">CNS - Clinical Nurse Specialist</option>
            <option value="69" data-match="CRNA" data-professionid="10" data-hidden-jurisdictions="[&quot;GA&quot;,&quot;WV&quot;,&quot;PA&quot;,&quot;FL&quot;,&quot;NJ&quot;,&quot;MI&quot;]">CRNA - Certified Registered Nurse Anesthetist</option>
            <option value="151" data-match="CNM" data-professionid="10" data-hidden-jurisdictions="[&quot;GA&quot;,&quot;WV&quot;,&quot;PA&quot;,&quot;KS&quot;,&quot;FL&quot;,&quot;AK&quot;,&quot;MI&quot;]">CNM - Certified Nurse Midwife</option>
            <option value="7" data-match="CCRN" data-professionid="10" data-allowed-jurisdictions="[&quot;US&quot;]">CCRN - Critical Care Registered Nurse</option>
            <option value="254" data-match="NA" data-professionid="10" data-allowed-jurisdictions="[&quot;MI&quot;]">NA - Nurse Anesthetist</option>
            <option value="214" data-match="NMW" data-professionid="10" data-allowed-jurisdictions="[&quot;WA&quot;,&quot;PA&quot;,&quot;KS&quot;,&quot;IN&quot;,&quot;MD&quot;,&quot;MO&quot;,&quot;TN&quot;,&quot;VT&quot;,&quot;WI&quot;]">NMW - Nurse
              Midwife</option>
            <option value="8" data-match="RNC" data-professionid="10" data-allowed-jurisdictions="[&quot;US&quot;]">RNC - Certified Registered Nurse</option>
            <option value="43" data-match="CNOR" data-professionid="10" data-allowed-jurisdictions="[&quot;US&quot;]">CNOR - Certified Nurse in the Operating Room</option>
            <option value="255" data-match="NM" data-professionid="10" data-allowed-jurisdictions="[&quot;MI&quot;]">NM - Nurse Midwife</option>
            <option value="261" data-match="ACL" data-professionid="10" data-allowed-jurisdictions="[&quot;GA&quot;]">ACL - Assistant Cosmetic Laser Practitioner</option>
            <option value="262" data-match="SCL" data-professionid="10" data-allowed-jurisdictions="[&quot;GA&quot;]">SCL - Senior Cosmetic Laser Practitioner</option>
            <option value="70" data-match="APN" data-professionid="10" data-allowed-jurisdictions="[&quot;WI&quot;,&quot;NJ&quot;]">APN - Advanced Practice Nurse</option>
            <option value="170" data-match="CPM" data-professionid="10" data-allowed-jurisdictions="[&quot;NJ&quot;,&quot;DE&quot;,&quot;AZ&quot;]">CPM - Certified Professional Midwife</option>
            <option value="42" data-match="CM" data-professionid="10" data-allowed-jurisdictions="[&quot;NJ&quot;,&quot;AK&quot;]">CM - Certified Midwife</option>
            <option value="206" data-match="LM" data-professionid="10" data-allowed-jurisdictions="[&quot;FL&quot;,&quot;CO&quot;,&quot;AZ&quot;,&quot;CT&quot;,&quot;CA&quot;]">LM - Licensed Midwife</option>
            <option value="326" data-match="DCNP" data-professionid="10">DCNP - Dermatology Certified Nurse Practitioner</option>
            <option value="44" data-match="RCP" data-professionid="10" data-allowed-jurisdictions="[&quot;GA&quot;,&quot;TX&quot;,&quot;US&quot;]">RCP - Respiratory Care Practitioner</option>
            <option value="215" data-match="RXA" data-professionid="10" data-allowed-jurisdictions="[&quot;CA&quot;,&quot;CO&quot;]">RXA - Prescribing Authority</option>
            <option value="99" data-match="TPNP" data-professionid="10" data-hidden-jurisdictions="[&quot;US&quot;]">TPNP - Temporary Nurse Practitioner Permit</option>
          </optgroup>
          <optgroup label="Physician" data-professionid="2">
            <option value="269" data-match="DOCL" data-professionid="2" data-allowed-jurisdictions="[&quot;MI&quot;]">DOCL - Osteopathic Doctor Compact License</option>
            <option value="48" data-match="DPM" data-professionid="2" data-allowed-jurisdictions="[&quot;KS&quot;]" data-hidden-jurisdictions="[&quot;BS&quot;]">DPM - Doctor of Podiatric Medicine</option>
            <option value="51" data-match="FP" data-professionid="2" data-allowed-jurisdictions="[&quot;US&quot;]">FP - Family Physician</option>
            <option value="11" data-match="MD" data-professionid="2" data-allowed-jurisdictions="[&quot;WI&quot;]" data-hidden-jurisdictions="[&quot;BS&quot;]">MD - Medical Doctor</option>
            <option value="265" data-match="MDCL" data-professionid="2" data-allowed-jurisdictions="[&quot;MI&quot;]">MDCL - Medical Doctor Compact License</option>
            <option value="230" data-match="TPDO" data-professionid="2" data-allowed-jurisdictions="[&quot;FM&quot;]">TPDO - Temporary Osteopathic Physician Permit</option>
            <option value="237" data-match="MP" data-professionid="2" data-allowed-jurisdictions="[&quot;BS&quot;]">MP - Medical Practitioner</option>
            <option value="12" data-match="DO" data-professionid="2" data-hidden-jurisdictions="[&quot;BS&quot;]">DO - Osteopathic Doctor</option>
            <option value="238" data-match="SMP" data-professionid="2" data-allowed-jurisdictions="[&quot;BS&quot;]">SMP - Specialty Medical Practitioner</option>
            <option value="68" data-match="DC" data-professionid="2" data-hidden-jurisdictions="[&quot;BS&quot;]">DC - Doctor of Chiropractic</option>
            <option value="169" data-match="DNM" data-professionid="2" data-hidden-jurisdictions="[&quot;BS&quot;,&quot;FL&quot;]">DNM - Doctor of Naturopathic Medicine</option>
            <option value="327" data-match="MDL" data-professionid="2" data-allowed-jurisdictions="[&quot;US&quot;]">MDL - Medical Doctor Limited License</option>
            <option value="328" data-match="DOL" data-professionid="2" data-allowed-jurisdictions="[&quot;US&quot;]">DOL - Osteopathic Doctor Limited License</option>
            <option value="329" data-match="MDV" data-professionid="2" data-allowed-jurisdictions="[&quot;US&quot;]">MDV - Medical Doctor Volunteer</option>
            <option value="330" data-match="DOV" data-professionid="2" data-allowed-jurisdictions="[&quot;US&quot;]">DOV - Osteopathic Doctor Volunteer</option>
            <option value="331" data-match="MDF" data-professionid="2" data-allowed-jurisdictions="[&quot;US&quot;]">MDF - Medical Doctor Faculty</option>
            <option value="332" data-match="DOF" data-professionid="2" data-allowed-jurisdictions="[&quot;US&quot;]">DOF - Osteopathic Doctor Faculty</option>
            <option value="92" data-match="TPMD" data-professionid="2" data-hidden-jurisdictions="[&quot;BS&quot;]">TPMD - Temporary Physician Permit</option>
          </optgroup>
          <optgroup label="Physician Assistant" data-professionid="11">
            <option value="165" data-match="OPA" data-professionid="11" data-allowed-jurisdictions="[&quot;PA&quot;,&quot;ME&quot;,&quot;NM&quot;,&quot;NV&quot;,&quot;WV&quot;]">OPA - Osteopathic Physician Assistant</option>
            <option value="13" data-match="PA" data-professionid="11">PA - Physician Assistant</option>
            <option value="100" data-match="TPPA" data-professionid="11">TPPA - Temporary Physician Assistant Permit</option>
            <option value="103" data-match="AA" data-professionid="11"
              data-allowed-jurisdictions="[&quot;FL&quot;,&quot;MO&quot;,&quot;WI&quot;,&quot;CO&quot;,&quot;DC&quot;,&quot;IN&quot;,&quot;SC&quot;,&quot;NC&quot;,&quot;AL&quot;,&quot;VT&quot;,&quot;OK&quot;,&quot;OH&quot;,&quot;GA&quot;]">AA -
              Anesthesiologist Assistant</option>
            <option value="46" data-match="MP" data-professionid="11" data-allowed-jurisdictions="[&quot;FL&quot;]">MP - Medical Physicist</option>
          </optgroup>
          <optgroup label="Pharmacist" data-professionid="26">
            <option value="288" data-match="ADV" data-professionid="26" data-allowed-jurisdictions="[&quot;ME&quot;]">ADV - Administration of Drugs and Vaccines Approval</option>
            <option value="287" data-match="CA" data-professionid="26" data-allowed-jurisdictions="[&quot;ME&quot;]">CA - Contraceptive Administration Approval</option>
            <option value="283" data-match="CPA" data-professionid="26" data-allowed-jurisdictions="[&quot;ME&quot;,&quot;NJ&quot;]">CPA - Collaborative Practice Approval</option>
            <option value="285" data-match="DTMP" data-professionid="26" data-allowed-jurisdictions="[&quot;GA&quot;]">DTMP - Drug Therapy Modification Protocol Approval</option>
            <option value="284" data-match="IA" data-professionid="26" data-allowed-jurisdictions="[&quot;NJ&quot;]">IA - Immunization Administration Approval</option>
            <option value="281" data-match="PIC" data-professionid="26" data-allowed-jurisdictions="[&quot;LA&quot;,&quot;ME&quot;,&quot;SC&quot;]">PIC - Pharmacist in Charge</option>
            <option value="195" data-match="PH" data-professionid="26"
              data-hidden-jurisdictions="[&quot;WV&quot;,&quot;CA&quot;,&quot;GA&quot;,&quot;ND&quot;,&quot;OH&quot;,&quot;OK&quot;,&quot;OR&quot;,&quot;PA&quot;,&quot;RI&quot;,&quot;MT&quot;]">PH - Pharmacist</option>
            <option value="205" data-match="RPH" data-professionid="26"
              data-allowed-jurisdictions="[&quot;WV&quot;,&quot;CA&quot;,&quot;GA&quot;,&quot;ND&quot;,&quot;OH&quot;,&quot;OK&quot;,&quot;OR&quot;,&quot;PA&quot;,&quot;RI&quot;,&quot;MT&quot;]">RPH - Registered Pharmacist</option>
            <option value="286" data-match="APH" data-professionid="26" data-allowed-jurisdictions="[&quot;CA&quot;]">APH - Advanced Practice Pharmacist</option>
            <option value="274" data-match="CPH" data-professionid="26" data-allowed-jurisdictions="[&quot;FL&quot;]">CPH - Consultant Pharmacist</option>
            <option value="290" data-match="PHV" data-professionid="26" data-allowed-jurisdictions="[&quot;MI&quot;]">PHV - Pharmacist Special Volunteer</option>
            <option value="278" data-match="CPP" data-professionid="26" data-allowed-jurisdictions="[&quot;NC&quot;,&quot;NC&quot;,&quot;MT&quot;]">CPP - Clinical Pharmacist Practitioner</option>
            <option value="275" data-match="NPH" data-professionid="26" data-allowed-jurisdictions="[&quot;GA&quot;,&quot;FL&quot;]">NPH - Nuclear Pharmacist</option>
            <option value="279" data-match="TPPH" data-professionid="26">TPPH - Temporary Pharmacist</option>
          </optgroup>
          <optgroup label="Pharmacy Technician" data-professionid="27">
            <option value="196" data-match="CPHT" data-professionid="27"
              data-allowed-jurisdictions="[&quot;ID&quot;,&quot;NH&quot;,&quot;OR&quot;,&quot;KY&quot;,&quot;KS&quot;,&quot;LA&quot;,&quot;MT&quot;,&quot;OH&quot;,&quot;SC&quot;,&quot;SD&quot;]">CPHT - Certified Pharmacy Technician</option>
            <option value="282" data-match="PHA" data-professionid="27" data-allowed-jurisdictions="[&quot;WA&quot;]">PHA - Pharmacy Assistant</option>
            <option value="229" data-match="RPHT" data-professionid="27" data-allowed-jurisdictions="[&quot;FL&quot;,&quot;ND&quot;,&quot;NH&quot;,&quot;NY&quot;,&quot;OH&quot;,&quot;WY&quot;]">RPHT - Registered Pharmacy Technician</option>
            <option value="277" data-match="PHT" data-professionid="27"
              data-hidden-jurisdictions="[&quot;FL&quot;,&quot;KS&quot;,&quot;LA&quot;,&quot;MT&quot;,&quot;ND&quot;,&quot;NH&quot;,&quot;NY&quot;,&quot;SD&quot;,&quot;WY&quot;,&quot;OH&quot;]">PHT - Pharmacy Technician</option>
            <option value="276" data-match="NPHT" data-professionid="27" data-allowed-jurisdictions="[&quot;FL&quot;,&quot;WV&quot;]">NPHT - Nuclear Pharmacy Technician</option>
            <option value="280" data-match="TPPHT" data-professionid="27">TPPHT - Temporary Pharmacy Technician</option>
            <option value="291" data-match="PHTV" data-professionid="27" data-allowed-jurisdictions="[&quot;MI&quot;]">PHTV - Pharmacy Technician Special Volunteer</option>
          </optgroup>
          <optgroup label="Social Worker" data-professionid="4">
            <option value="249" data-match="BSW" data-professionid="4" data-allowed-jurisdictions="[&quot;PA&quot;]">BSW - Bachelor Social Worker</option>
            <option value="144" data-match="CMSW" data-professionid="4" data-allowed-jurisdictions="[&quot;NC&quot;,&quot;NE&quot;,&quot;FL&quot;]">CMSW - Certified Master Social Worker</option>
            <option value="63" data-match="CSW" data-professionid="4"
              data-allowed-jurisdictions="[&quot;NC&quot;,&quot;RI&quot;,&quot;UT&quot;,&quot;WY&quot;,&quot;MS&quot;,&quot;NJ&quot;,&quot;GA&quot;,&quot;KY&quot;,&quot;LA&quot;,&quot;SD&quot;,&quot;US&quot;,&quot;NE&quot;]">CSW - Certified Social
              Worker</option>
            <option value="248" data-match="CSW" data-professionid="4" data-allowed-jurisdictions="[&quot;??&quot;,&quot;AK&quot;,&quot;PA&quot;,&quot;NH&quot;]">CSW - Clinical Social Worker</option>
            <option value="233" data-match="CSWA" data-professionid="4" data-allowed-jurisdictions="[&quot;CA&quot;,&quot;OR&quot;]">CSWA - Clinical Social Work Associate</option>
            <option value="84" data-match="CSWI" data-professionid="4" data-allowed-jurisdictions="[&quot;FM&quot;]">CSWI - Registered Clinical Social Work Intern</option>
            <option value="247" data-match="LCSW" data-professionid="4" data-allowed-jurisdictions="[&quot;AR&quot;,&quot;??&quot;,&quot;MA&quot;,&quot;MS&quot;,&quot;WV&quot;]">LCSW - Licensed Certified Social Worker</option>
            <option value="245" data-match="LCSWC" data-professionid="4" data-allowed-jurisdictions="[&quot;MD&quot;]">LCSWC - Licensed Certified Social Worker Clinical</option>
            <option value="135" data-match="LGSW" data-professionid="4" data-allowed-jurisdictions="[&quot;MN&quot;,&quot;WV&quot;,&quot;DC&quot;]">LGSW - Licensed Graduate Social Worker</option>
            <option value="250" data-match="LISWCP" data-professionid="4" data-allowed-jurisdictions="[&quot;SC&quot;]">LISWCP - Licensed Independent Social Worker Clinical Practice</option>
            <option value="21" data-match="LSW" data-professionid="4"
              data-allowed-jurisdictions="[&quot;AR&quot;,&quot;HI&quot;,&quot;CO&quot;,&quot;NV&quot;,&quot;MN&quot;,&quot;IN&quot;,&quot;MA&quot;,&quot;MS&quot;,&quot;OH&quot;,&quot;VA&quot;,&quot;IL&quot;,&quot;WV&quot;,&quot;NJ&quot;,&quot;KY&quot;,&quot;ME&quot;,&quot;ND&quot;,&quot;OK&quot;]">
              LSW - Licensed Social Worker</option>
            <option value="258" data-match="LSWI" data-professionid="4" data-allowed-jurisdictions="[&quot;ID&quot;]">LSWI - Licensed Social Worker Independent</option>
            <option value="138" data-match="MSW" data-professionid="4" data-allowed-jurisdictions="[&quot;AK&quot;,&quot;GA&quot;,&quot;ME&quot;,&quot;US&quot;]">MSW - Master Social Worker</option>
            <option value="149" data-match="RSW" data-professionid="4" data-allowed-jurisdictions="[&quot;OH&quot;,&quot;OR&quot;,&quot;VA&quot;,&quot;LA&quot;]">RSW - Registered Social Worker</option>
            <option value="306" data-match="SSW" data-professionid="4" data-allowed-jurisdictions="[&quot;NH&quot;]">SSW - School Social Worker</option>
            <option value="30" data-match="SW" data-professionid="4"
              data-allowed-jurisdictions="[&quot;UT&quot;,&quot;VA&quot;,&quot;WI&quot;,&quot;PA&quot;,&quot;SD&quot;,&quot;AS&quot;,&quot;GU&quot;,&quot;MH&quot;,&quot;FM&quot;,&quot;MP&quot;,&quot;XX&quot;,&quot;PW&quot;,&quot;PR&quot;,&quot;VI&quot;]">
              SW - Social Worker</option>
            <option value="139" data-match="SWA" data-professionid="4" data-allowed-jurisdictions="[&quot;WA&quot;,&quot;VA&quot;]">SWA - Social Work Associate</option>
            <option value="257" data-match="SWS" data-professionid="4">SWS - Social Worker Supervisor</option>
            <option value="94" data-match="TPSW" data-professionid="4" data-allowed-jurisdictions="[&quot;FM&quot;]">TPSW - Temporary Social Worker Permit</option>
            <option value="218" data-match="APSW" data-professionid="4" data-allowed-jurisdictions="[&quot;WA&quot;,&quot;WI&quot;,&quot;WI&quot;]">APSW - Advanced Practice Social Worker</option>
            <option value="152" data-match="ASW" data-professionid="4">ASW - Associate Social Worker</option>
            <option value="17" data-match="LCSW" data-professionid="4"
              data-allowed-jurisdictions="[&quot;MO&quot;,&quot;AZ&quot;,&quot;HI&quot;,&quot;CO&quot;,&quot;IN&quot;,&quot;MD&quot;,&quot;MT&quot;,&quot;ID&quot;,&quot;NV&quot;,&quot;DE&quot;,&quot;NC&quot;,&quot;NM&quot;,&quot;NY&quot;,&quot;OR&quot;,&quot;TX&quot;,&quot;UT&quot;,&quot;VA&quot;,&quot;WI&quot;,&quot;WY&quot;,&quot;CA&quot;,&quot;IL&quot;,&quot;NJ&quot;,&quot;CT&quot;,&quot;FL&quot;,&quot;KY&quot;,&quot;LA&quot;,&quot;ME&quot;,&quot;ND&quot;,&quot;TN&quot;,&quot;OK&quot;,&quot;VT&quot;]">
              LCSW - Licensed Clinical Social Worker</option>
            <option value="66" data-match="LISW" data-professionid="4" data-allowed-jurisdictions="[&quot;SC&quot;,&quot;NV&quot;,&quot;MN&quot;,&quot;NM&quot;,&quot;OH&quot;,&quot;WI&quot;,&quot;WV&quot;,&quot;IA&quot;,&quot;DC&quot;]">LISW -
              Licensed Independent Social Worker</option>
            <option value="228" data-match="LAPSW" data-professionid="4" data-allowed-jurisdictions="[&quot;TN&quot;]">LAPSW - Licensed Advanced Practitioner Social Worker</option>
            <option value="244" data-match="LISWD" data-professionid="4" data-allowed-jurisdictions="[&quot;SC&quot;]">LISWD - Licensed Independent Social Worker Dual Practice</option>
            <option value="73" data-match="LBSW" data-professionid="4"
              data-allowed-jurisdictions="[&quot;AL&quot;,&quot;AZ&quot;,&quot;HI&quot;,&quot;SC&quot;,&quot;MD&quot;,&quot;AK&quot;,&quot;KS&quot;,&quot;MI&quot;,&quot;MT&quot;,&quot;ID&quot;,&quot;DE&quot;,&quot;IN&quot;,&quot;NM&quot;,&quot;TX&quot;,&quot;VA&quot;,&quot;IA&quot;,&quot;MO&quot;,&quot;US&quot;,&quot;TN&quot;]">
              LBSW - Licensed Bachelor Social Worker</option>
            <option value="75" data-match="LICSW" data-professionid="4" data-allowed-jurisdictions="[&quot;AL&quot;,&quot;WA&quot;,&quot;MN&quot;,&quot;MA&quot;,&quot;DC&quot;,&quot;RI&quot;,&quot;ND&quot;]">LICSW - Licensed Independent Clinical
              Social Worker</option>
            <option value="289" data-match="LCSWA" data-professionid="4" data-allowed-jurisdictions="[&quot;NC&quot;]">LCSWA - Licensed Clinical Social Worker Associate</option>
            <option value="29" data-match="LMSW" data-professionid="4"
              data-allowed-jurisdictions="[&quot;AL&quot;,&quot;CT&quot;,&quot;MI&quot;,&quot;AR&quot;,&quot;AZ&quot;,&quot;NV&quot;,&quot;SC&quot;,&quot;MD&quot;,&quot;KS&quot;,&quot;ND&quot;,&quot;MT&quot;,&quot;ID&quot;,&quot;MN&quot;,&quot;DE&quot;,&quot;MS&quot;,&quot;NM&quot;,&quot;NY&quot;,&quot;OR&quot;,&quot;TX&quot;,&quot;IA&quot;,&quot;LA&quot;,&quot;US&quot;,&quot;TN&quot;,&quot;MO&quot;,&quot;OK&quot;]">
              LMSW - Licensed Master Social Worker</option>
            <option value="212" data-match="LMSWI" data-professionid="4" data-allowed-jurisdictions="[&quot;ID&quot;,&quot;CA&quot;]">LMSWI - Licensed Independent Master Social Worker</option>
            <option value="232" data-match="LSCSW" data-professionid="4" data-allowed-jurisdictions="[&quot;KS&quot;]">LSCSW - Licensed Specialist Clinical Social Worker</option>
            <option value="76" data-match="LSWA" data-professionid="4" data-allowed-jurisdictions="[&quot;KS&quot;,&quot;OH&quot;,&quot;NV&quot;,&quot;MA&quot;,&quot;DC&quot;,&quot;OK&quot;]">LSWA - Licensed Social Worker Associate</option>
          </optgroup>
          <optgroup label="Counselor/Therapist" data-professionid="16">
            <option value="162" data-match="AT" data-professionid="16" data-allowed-jurisdictions="[&quot;FM&quot;]">AT - Art Therapist</option>
            <option value="234" data-match="CMHC" data-professionid="16" data-allowed-jurisdictions="[&quot;NH&quot;]">CMHC - Clinical Mental Health Counselor</option>
            <option value="304" data-match="CRSW" data-professionid="16" data-allowed-jurisdictions="[&quot;NH&quot;]">CRSW - Certified Recovery Support Worker</option>
            <option value="150" data-match="IMHP" data-professionid="16" data-allowed-jurisdictions="[&quot;NE&quot;]">IMHP - Independent Mental Health Practitioner</option>
            <option value="307" data-match="LCPT" data-professionid="16" data-allowed-jurisdictions="[&quot;TN&quot;]">LCPT - Licensed Clinical Pastoral Therapist</option>
            <option value="305" data-match="LCS" data-professionid="16" data-allowed-jurisdictions="[&quot;NH&quot;]">LCS - Licensed Clinical Supervisor</option>
            <option value="163" data-match="LMHA" data-professionid="16" data-allowed-jurisdictions="[&quot;WA&quot;,&quot;IN&quot;]">LMHA - Licensed Mental Health Counselor Associate</option>
            <option value="128" data-match="LPCI" data-professionid="16" data-allowed-jurisdictions="[&quot;FM&quot;]">LPCI - Licensed Professional Counselor Intern</option>
            <option value="19" data-match="MFC" data-professionid="16" data-allowed-jurisdictions="[&quot;FM&quot;]">MFC - Marriage and Family Counselor</option>
            <option value="83" data-match="MFTI" data-professionid="16" data-allowed-jurisdictions="[&quot;FM&quot;]">MFTI - Marriage and Family Therapist Intern</option>
            <option value="82" data-match="MHCI" data-professionid="16" data-allowed-jurisdictions="[&quot;FM&quot;]">MHCI - Mental Health Counselor Intern</option>
            <option value="142" data-match="MHP" data-professionid="16" data-allowed-jurisdictions="[&quot;NE&quot;,&quot;VA&quot;]">MHP - Mental Health Practitioner</option>
            <option value="312" data-match="MLDAC" data-professionid="16" data-allowed-jurisdictions="[&quot;NH&quot;]">MLDAC - Master Licensed Drug and Alcohol Counselor</option>
            <option value="159" data-match="MTBC" data-professionid="16" data-allowed-jurisdictions="[&quot;FM&quot;]">MTBC - Music Therapist-Board Certified</option>
            <option value="130" data-match="NCC" data-professionid="16" data-allowed-jurisdictions="[&quot;FM&quot;,&quot;US&quot;]">NCC - National Certified Counselor</option>
            <option value="141" data-match="PAC" data-professionid="16" data-allowed-jurisdictions="[&quot;ME&quot;]">PAC - Pastoral Counselor</option>
            <option value="160" data-match="PC" data-professionid="16"
              data-allowed-jurisdictions="[&quot;PA&quot;,&quot;GU&quot;,&quot;AS&quot;,&quot;MH&quot;,&quot;MP&quot;,&quot;XX&quot;,&quot;PW&quot;,&quot;PR&quot;,&quot;VI&quot;,&quot;GA&quot;]">PC - Professional Counselor</option>
            <option value="301" data-match="PPT" data-professionid="16" data-allowed-jurisdictions="[&quot;NH&quot;]">PPT - Pastoral Psychotherapist</option>
            <option value="129" data-match="RC" data-professionid="16" data-allowed-jurisdictions="[&quot;ME&quot;,&quot;NJ&quot;,&quot;MA&quot;]">RC - Registered Counselor</option>
            <option value="101" data-match="TPCT" data-professionid="16" data-allowed-jurisdictions="[&quot;ME&quot;]">TPCT - Temporary Counselor/Therapist Permit</option>
            <option value="64" data-match="AP" data-professionid="16"
              data-allowed-jurisdictions="[&quot;WV&quot;,&quot;WY&quot;,&quot;UT&quot;,&quot;DC&quot;,&quot;IN&quot;,&quot;LA&quot;,&quot;AL&quot;,&quot;CO&quot;,&quot;MA&quot;,&quot;RI&quot;,&quot;CA&quot;,&quot;FL&quot;,&quot;KY&quot;,&quot;XX&quot;,&quot;US&quot;]">
              AP - Addiction Professional</option>
            <option value="179" data-match="CDP" data-professionid="16" data-allowed-jurisdictions="[&quot;FM&quot;,&quot;AK&quot;,&quot;WA&quot;]">CDP - Chemical Dependency Professional</option>
            <option value="211" data-match="LADC" data-professionid="16" data-allowed-jurisdictions="[&quot;FM&quot;,&quot;MN&quot;,&quot;CT&quot;,&quot;ME&quot;,&quot;NE&quot;,&quot;NH&quot;,&quot;NM&quot;,&quot;NV&quot;,&quot;OK&quot;]">LADC -
              Licensed Alcohol and Drug Counselor</option>
            <option value="140" data-match="CPC" data-professionid="16" data-allowed-jurisdictions="[&quot;NV&quot;,&quot;AR&quot;,&quot;NE&quot;,&quot;WA&quot;]">CPC - Certified Professional Counselor</option>
            <option value="58" data-match="CADC" data-professionid="16"
              data-allowed-jurisdictions="[&quot;CT&quot;,&quot;MD&quot;,&quot;AR&quot;,&quot;DC&quot;,&quot;NJ&quot;,&quot;SD&quot;,&quot;AZ&quot;,&quot;IA&quot;,&quot;IL&quot;,&quot;ME&quot;,&quot;MO&quot;,&quot;MS&quot;,&quot;RI&quot;,&quot;TX&quot;,&quot;VT&quot;,&quot;WV&quot;,&quot;CA&quot;,&quot;FL&quot;,&quot;GA&quot;,&quot;ID&quot;,&quot;NV&quot;,&quot;PA&quot;,&quot;XX&quot;,&quot;MI&quot;,&quot;OR&quot;]">
              CADC - Certified Alcohol/Drug Counselor</option>
            <option value="145" data-match="LCADC" data-professionid="16" data-allowed-jurisdictions="[&quot;AR&quot;,&quot;ND&quot;,&quot;NJ&quot;,&quot;NC&quot;,&quot;MD&quot;]">LCADC - Licensed Clinical Alcohol and Drug Counselor</option>
            <option value="71" data-match="SAC" data-professionid="16" data-allowed-jurisdictions="[&quot;AK&quot;,&quot;VA&quot;,&quot;HI&quot;,&quot;NM&quot;,&quot;RI&quot;,&quot;WI&quot;,&quot;NY&quot;,&quot;TN&quot;]">SAC - Substance Abuse
              Counselor</option>
            <option value="143" data-match="AC" data-professionid="16" data-allowed-jurisdictions="[&quot;CA&quot;,&quot;SC&quot;,&quot;GA&quot;,&quot;MD&quot;,&quot;AR&quot;,&quot;NJ&quot;,&quot;DE&quot;]">AC - Associate Counselor</option>
            <option value="148" data-match="LISAC" data-professionid="16" data-allowed-jurisdictions="[&quot;AZ&quot;]">LISAC - Licensed Independent Substance Abuse Counselor</option>
            <option value="74" data-match="MFTA" data-professionid="16" data-allowed-jurisdictions="[&quot;CA&quot;,&quot;WA&quot;,&quot;GA&quot;,&quot;IN&quot;,&quot;TX&quot;,&quot;AL&quot;,&quot;NM&quot;,&quot;XX&quot;,&quot;KY&quot;]">MFTA -
              Marriage and Family Therapist Associate</option>
            <option value="146" data-match="LMHC" data-professionid="16" data-allowed-jurisdictions="[&quot;FL&quot;,&quot;AR&quot;,&quot;NY&quot;,&quot;NM&quot;,&quot;MA&quot;]">LMHC - Licensed Mental Health Counselor</option>
            <option value="178" data-match="LPCA" data-professionid="16" data-allowed-jurisdictions="[&quot;AR&quot;,&quot;AL&quot;]">LPCA - Licensed Professional Counselor Associate</option>
            <option value="161" data-match="LSAT" data-professionid="16" data-allowed-jurisdictions="[&quot;AZ&quot;]">LSAT - Licensed Substance Abuse Technician</option>
            <option value="18" data-match="MFT" data-professionid="16"
              data-allowed-jurisdictions="[&quot;UT&quot;,&quot;WA&quot;,&quot;WI&quot;,&quot;GA&quot;,&quot;KY&quot;,&quot;NV&quot;,&quot;OK&quot;,&quot;PA&quot;,&quot;MI&quot;,&quot;AK&quot;,&quot;AR&quot;,&quot;HI&quot;,&quot;IA&quot;,&quot;IN&quot;,&quot;ME&quot;,&quot;MO&quot;,&quot;NE&quot;,&quot;NH&quot;,&quot;NJ&quot;,&quot;RI&quot;,&quot;AL&quot;,&quot;IL&quot;,&quot;CT&quot;,&quot;DC&quot;,&quot;VT&quot;,&quot;XX&quot;,&quot;US&quot;,&quot;OH&quot;,&quot;MS&quot;]">
              MFT - Marriage and Family Therapist</option>
            <option value="219" data-match="CAC" data-professionid="16" data-allowed-jurisdictions="[&quot;IN&quot;]">CAC - Clinical Addiction Counselor</option>
            <option value="50" data-match="MHC" data-professionid="16" data-allowed-jurisdictions="[&quot;WA&quot;,&quot;WY&quot;,&quot;UT&quot;,&quot;AR&quot;,&quot;HI&quot;,&quot;IA&quot;,&quot;IN&quot;,&quot;RI&quot;,&quot;VT&quot;]">MHC - Mental
              Health Counselor</option>
            <option value="220" data-match="CACA" data-professionid="16" data-allowed-jurisdictions="[&quot;IN&quot;]">CACA - Clinical Addiction Counselor Associate</option>
            <option value="259" data-match="IMFT" data-professionid="16" data-allowed-jurisdictions="[&quot;OH&quot;]">IMFT - Independent Marriage and Family Therapist</option>
            <option value="65" data-match="LEP" data-professionid="16" data-allowed-jurisdictions="[&quot;CA&quot;,&quot;SC&quot;,&quot;MA&quot;]">LEP - Licensed Educational Psychologist</option>
            <option value="260" data-match="IMFTS" data-professionid="16" data-allowed-jurisdictions="[&quot;OH&quot;]">IMFTS - Independent Marriage and Family Therapist Supervisor</option>
            <option value="177" data-match="LCPC" data-professionid="16" data-allowed-jurisdictions="[&quot;TN&quot;,&quot;IL&quot;,&quot;MT&quot;,&quot;KS&quot;,&quot;ID&quot;,&quot;MD&quot;]">LCPC - Licensed Clinical Professional Counselor</option>
            <option value="20" data-match="LPC" data-professionid="16"
              data-allowed-jurisdictions="[&quot;MI&quot;,&quot;SD&quot;,&quot;WI&quot;,&quot;WY&quot;,&quot;GA&quot;,&quot;ID&quot;,&quot;KY&quot;,&quot;MD&quot;,&quot;WV&quot;,&quot;OK&quot;,&quot;OR&quot;,&quot;SC&quot;,&quot;OH&quot;,&quot;AK&quot;,&quot;AR&quot;,&quot;AZ&quot;,&quot;CO&quot;,&quot;DC&quot;,&quot;IL&quot;,&quot;KS&quot;,&quot;LA&quot;,&quot;MO&quot;,&quot;MS&quot;,&quot;ND&quot;,&quot;NJ&quot;,&quot;TX&quot;,&quot;CT&quot;,&quot;NM&quot;,&quot;AL&quot;,&quot;MN&quot;,&quot;VA&quot;,&quot;XX&quot;]">
              LPC - Licensed Professional Counselor</option>
            <option value="127" data-match="LPCS" data-professionid="16" data-allowed-jurisdictions="[&quot;OH&quot;,&quot;AR&quot;,&quot;MS&quot;,&quot;NC&quot;,&quot;SC&quot;]">LPCS - Licensed Professional Counselor Supervisor</option>
            <option value="224" data-match="LAMFT" data-professionid="16" data-allowed-jurisdictions="[&quot;MN&quot;,&quot;AZ&quot;,&quot;ND&quot;,&quot;AR&quot;]">LAMFT - Licensed Associate Marriage and Family Therapist</option>
            <option value="223" data-match="LAC" data-professionid="16" data-allowed-jurisdictions="[&quot;AZ&quot;]">LAC - Licensed Associate Counselor</option>
            <option value="225" data-match="LASAC" data-professionid="16" data-allowed-jurisdictions="[&quot;AZ&quot;]">LASAC - Licensed Associate Substance Abuse Counselor</option>
            <option value="72" data-match="LPCC" data-professionid="16"
              data-allowed-jurisdictions="[&quot;CA&quot;,&quot;ID&quot;,&quot;KY&quot;,&quot;MD&quot;,&quot;CO&quot;,&quot;ME&quot;,&quot;ND&quot;,&quot;NM&quot;,&quot;XX&quot;,&quot;OH&quot;]">LPCC - Licensed Professional Clinical Counselor
            </option>
            <option value="222" data-match="LPCCS" data-professionid="16" data-allowed-jurisdictions="[&quot;OH&quot;]">LPCCS - Licensed Professional Clinical Counselor Supervisor</option>
            <option value="186" data-match="LCDC" data-professionid="16" data-allowed-jurisdictions="[&quot;TX&quot;,&quot;DE&quot;,&quot;OH&quot;]">LCDC - Licensed Chemical Dependency Counselor</option>
            <option value="221" data-match="LCMFT" data-professionid="16" data-allowed-jurisdictions="[&quot;KS&quot;]">LCMFT - Licensed Clinical Marriage and Family Therapist</option>
            <option value="136" data-match="LMFT" data-professionid="16"
              data-allowed-jurisdictions="[&quot;WV&quot;,&quot;LA&quot;,&quot;MN&quot;,&quot;WY&quot;,&quot;CA&quot;,&quot;DE&quot;,&quot;FL&quot;,&quot;ID&quot;,&quot;MD&quot;,&quot;NY&quot;,&quot;TN&quot;,&quot;OR&quot;,&quot;SC&quot;,&quot;TX&quot;,&quot;AZ&quot;,&quot;MT&quot;,&quot;NC&quot;,&quot;KS&quot;,&quot;SD&quot;,&quot;VA&quot;,&quot;CO&quot;,&quot;NM&quot;,&quot;MA&quot;,&quot;ND&quot;,&quot;XX&quot;]">
              LMFT - Licensed Marriage and Family Therapist</option>
            <option value="208" data-match="LCMHC" data-professionid="16" data-allowed-jurisdictions="[&quot;NC&quot;]">LCMHC - Licensed Clinical Mental Health Counselor</option>
            <option value="213" data-match="LPCMH" data-professionid="16" data-allowed-jurisdictions="[&quot;SD&quot;,&quot;DE&quot;]">LPCMH - Licensed Professional Counselor Mental Health</option>
            <option value="210" data-match="LCMHCS" data-professionid="16" data-allowed-jurisdictions="[&quot;NC&quot;]">LCMHCS - Licensed Clinical Mental Health Counselor Supervisor</option>
            <option value="263" data-match="LCAC" data-professionid="16" data-allowed-jurisdictions="[&quot;KS&quot;]">LCAC - Licensed Clinical Addiction Counselor</option>
            <option value="264" data-match="LMAC" data-professionid="16" data-allowed-jurisdictions="[&quot;KS&quot;]">LMAC - Licensed Master Addiction Counselor</option>
            <option value="270" data-match="LMFS" data-professionid="16" data-allowed-jurisdictions="[&quot;XX&quot;]">LMFS - Licensed Marriage and Family Therapist Supervisor</option>
            <option value="236" data-match="MFTS" data-professionid="16" data-allowed-jurisdictions="[&quot;SC&quot;]">MFTS - Marriage and Family Therapy Supervisor</option>
            <option value="246" data-match="MHA" data-professionid="16" data-allowed-jurisdictions="[&quot;IN&quot;]">MHA - Mental Health Associate</option>
            <option value="235" data-match="LACS" data-professionid="16" data-allowed-jurisdictions="[&quot;SC&quot;]">LACS - Licensed Addiction Counselor Supervisor</option>
            <option value="226" data-match="LAC" data-professionid="16" data-allowed-jurisdictions="[&quot;SC&quot;,&quot;MT&quot;,&quot;CO&quot;,&quot;KS&quot;]">LAC - Licensed Addiction Counselor</option>
            <option value="271" data-match="LACA" data-professionid="16" data-allowed-jurisdictions="[&quot;SC&quot;]">LACA - Licensed Addiction Counselor Associate</option>
            <option value="209" data-match="LCMHCA" data-professionid="16" data-allowed-jurisdictions="[&quot;NC&quot;]">LCMHCA - Licensed Clinical Mental Health Counselor Associate</option>
            <option value="266" data-match="LRC" data-professionid="16" data-allowed-jurisdictions="[&quot;NJ&quot;]">LRC - Licensed Rehabilitation Counselor</option>
          </optgroup>
          <optgroup label="Psychologist" data-professionid="5">
            <option value="52" data-match="PSYL" data-professionid="5" data-allowed-jurisdictions="[&quot;ND&quot;]">PSYL - Licensed Psychologist</option>
            <option value="302" data-match="PSYSD" data-professionid="5" data-allowed-jurisdictions="[&quot;NH&quot;]">PSYSD - School Psychologist Doctoral</option>
            <option value="273" data-match="PSYSS" data-professionid="5" data-allowed-jurisdictions="[&quot;WY&quot;,&quot;NH&quot;]">PSYSS - School Psychologist Specialist</option>
            <option value="310" data-match="PSYX" data-professionid="5" data-allowed-jurisdictions="[&quot;TN&quot;]">PSYX - Psychological Examiner</option>
            <option value="311" data-match="PSYXS" data-professionid="5" data-allowed-jurisdictions="[&quot;TN&quot;]">PSYXS - Senior Psychological Examiner</option>
            <option value="23" data-match="PSY" data-professionid="5" data-hidden-jurisdictions="[&quot;ND&quot;]">PSY - Psychologist</option>
            <option value="89" data-match="PSYM" data-professionid="5">PSYM - Master of Psychology</option>
            <option value="217" data-match="MPSY" data-professionid="5" data-allowed-jurisdictions="[&quot;LA&quot;]">MPSY - Medical Psychologist</option>
            <option value="95" data-match="TPPS" data-professionid="5">TPPS - Temporary Psychologist Permit</option>
            <option value="272" data-match="PSYP" data-professionid="5" data-allowed-jurisdictions="[&quot;WY&quot;]">PSYP - Psychological Practitioner</option>
          </optgroup>
          <optgroup label="Certified Case Manager" data-professionid="7">
            <option value="26" data-match="CCM" data-professionid="7">CCM - Certified Case Manager</option>
          </optgroup>
          <optgroup label="Certified Diabetes Educator" data-professionid="25">
            <option value="62" data-match="CDE" data-professionid="25">CDE - Certified Diabetes Educator</option>
          </optgroup>
          <optgroup label="Nursing Assistant" data-professionid="17">
            <option value="4" data-match="CNA" data-professionid="17">CNA - Certified Nurse Assistant</option>
            <option value="137" data-match="TPCNA" data-professionid="17">TPCNA - Temporary Certified Nurse Assistant</option>
          </optgroup>
          <optgroup label="Certified Surgical Assistant" data-professionid="24">
            <option value="155" data-match="CSA" data-professionid="24">CSA - Certified Surgical Assistant</option>
          </optgroup>
          <optgroup label="CST/CSFA" data-professionid="6">
            <option value="25" data-match="CSFA" data-professionid="6">CSFA - Certified Surgical First Assistant</option>
            <option value="24" data-match="CST" data-professionid="6">CST - Certified Surgical Technician</option>
            <option value="96" data-match="TPCST" data-professionid="6">TPCST - Temporary CST Permit</option>
          </optgroup>
          <optgroup label="Dental Assistant" data-professionid="23">
            <option value="36" data-match="CDA" data-professionid="23" data-allowed-jurisdictions="[&quot;US&quot;]">CDA - Certified Dental Assistant</option>
            <option value="185" data-match="DSA" data-professionid="23" data-allowed-jurisdictions="[&quot;CA&quot;]">DSA - Dental Sedation Assistant</option>
            <option value="252" data-match="LDA" data-professionid="23" data-allowed-jurisdictions="[&quot;MN&quot;]">LDA - Licensed Dental Assistant</option>
            <option value="184" data-match="OA" data-professionid="23" data-allowed-jurisdictions="[&quot;CA&quot;]">OA - Orthodontic Assistant</option>
            <option value="15" data-match="RDA" data-professionid="23" data-allowed-jurisdictions="[&quot;CA&quot;,&quot;PA&quot;,&quot;MA&quot;,&quot;MI&quot;]">RDA - Registered Dental Assistant</option>
            <option value="167" data-match="RDAEF" data-professionid="23" data-allowed-jurisdictions="[&quot;CA&quot;,&quot;PA&quot;]">RDAEF - Registered Dental Assistant Extended Function</option>
            <option value="251" data-match="DA" data-professionid="23" data-hidden-jurisdictions="[&quot;CA&quot;,&quot;MA&quot;,&quot;SC&quot;,&quot;PA&quot;,&quot;MI&quot;,&quot;MN&quot;]">DA - Dental Assistant</option>
            <option value="253" data-match="DT" data-professionid="23" data-allowed-jurisdictions="[&quot;SC&quot;,&quot;SC&quot;]">DT - Dental Technician</option>
            <option value="293" data-match="OT" data-professionid="23" data-allowed-jurisdictions="[&quot;SC&quot;]">OT - Orthodontic Technician</option>
            <option value="315" data-match="TPDA" data-professionid="23">TPDA - Temporary Dental Assistant Permit</option>
            <option value="292" data-match="DRAD" data-professionid="23" data-allowed-jurisdictions="[&quot;OH&quot;]">DRAD - Dental Radiographer</option>
          </optgroup>
          <optgroup label="Dental Hygienist" data-professionid="22">
            <option value="325" data-match="DHSL" data-professionid="22" data-allowed-jurisdictions="[&quot;WY&quot;]">DHSL - Dental Hygienist Soft Tissue Laser Permit</option>
            <option value="14" data-match="RDH" data-professionid="22" data-allowed-jurisdictions="[&quot;OK&quot;,&quot;CA&quot;,&quot;PA&quot;,&quot;MI&quot;]">RDH - Registered Dental Hygienist</option>
            <option value="168" data-match="RDHEF" data-professionid="22" data-allowed-jurisdictions="[&quot;CA&quot;]">RDHEF - Registered Dental Hygienist Extended Function</option>
            <option value="322" data-match="DHF" data-professionid="22" data-allowed-jurisdictions="[&quot;TX&quot;]">DHF - Dental Hygienist Faculty</option>
            <option value="323" data-match="DHLA" data-professionid="22" data-allowed-jurisdictions="[&quot;WY&quot;]">DHLA - Dental Hygienist Local Anesthesia Permit</option>
            <option value="324" data-match="DHNO" data-professionid="22" data-allowed-jurisdictions="[&quot;WY&quot;]">DHNO - Dental Hygienist Nitrous Oxide Permit</option>
            <option value="207" data-match="RDHAP" data-professionid="22" data-allowed-jurisdictions="[&quot;CA&quot;]">RDHAP - Registered Dental Hygienist Alternative Practice</option>
            <option value="294" data-match="DHV" data-professionid="22" data-allowed-jurisdictions="[&quot;SC&quot;]">DHV - Dental Hygienist Volunteer</option>
            <option value="154" data-match="DH" data-professionid="22" data-allowed-jurisdictions="[&quot;SC&quot;]" data-hidden-jurisdictions="[&quot;CA&quot;,&quot;PA&quot;,&quot;MI&quot;,&quot;OK&quot;]">DH - Dental Hygienist</option>
            <option value="295" data-match="DHI" data-professionid="22" data-allowed-jurisdictions="[&quot;SC&quot;]">DHI - Dental Hygienist Instructor</option>
            <option value="314" data-match="TPDH" data-professionid="22">TPDH - Temporary Dental Hygienist Permit</option>
          </optgroup>
          <optgroup label="Dentist" data-professionid="3">
            <option value="313" data-match="DDSVC" data-professionid="3" data-allowed-jurisdictions="[&quot;OH&quot;]">DDSVC - Dentist Volunteer Certificate</option>
            <option value="35" data-match="DENLL" data-professionid="3" data-allowed-jurisdictions="[&quot;US&quot;]">DENLL - Dentist Limited License</option>
            <option value="31" data-match="DEN" data-professionid="3">DEN - Dentist</option>
            <option value="320" data-match="DENF" data-professionid="3" data-allowed-jurisdictions="[&quot;CA&quot;,&quot;DE&quot;,&quot;IL&quot;,&quot;ME&quot;,&quot;OR&quot;,&quot;TX&quot;]">DENF - Dentist Faculty</option>
            <option value="296" data-match="DENV" data-professionid="3" data-allowed-jurisdictions="[&quot;SC&quot;]">DENV - Dentist Volunteer</option>
            <option value="297" data-match="DENG" data-professionid="3" data-allowed-jurisdictions="[&quot;SC&quot;]">DENG - General Dentist</option>
            <option value="298" data-match="DENI" data-professionid="3" data-allowed-jurisdictions="[&quot;SC&quot;]">DENI - Dentist Instructor</option>
            <option value="299" data-match="DENS" data-professionid="3" data-allowed-jurisdictions="[&quot;SC&quot;]">DENS - Dentist Specialty</option>
            <option value="300" data-match="DENIS" data-professionid="3" data-allowed-jurisdictions="[&quot;SC&quot;]">DENIS - Dentist Instructor Specialist</option>
            <option value="241" data-match="COSD" data-professionid="3" data-allowed-jurisdictions="[&quot;CA&quot;]">COSD - Dental Conscious Sedation Permit</option>
            <option value="239" data-match="DGA" data-professionid="3" data-allowed-jurisdictions="[&quot;CA&quot;]">DGA - Dental General Anesthesia Permit</option>
            <option value="317" data-match="ECSD" data-professionid="3" data-allowed-jurisdictions="[&quot;GA&quot;,&quot;WV&quot;]">ECSD - Enteral Conscious Sedation Permit</option>
            <option value="318" data-match="EFCS" data-professionid="3" data-allowed-jurisdictions="[&quot;CA&quot;]">EFCS - Elective Facial Cosmetic Surgery</option>
            <option value="240" data-match="MGA" data-professionid="3" data-allowed-jurisdictions="[&quot;CA&quot;]">MGA - Medical General Anesthesia Permit</option>
            <option value="256" data-match="MOSD" data-professionid="3" data-allowed-jurisdictions="[&quot;CA&quot;]">MOSD - Dental Moderate Sedation Permit</option>
            <option value="242" data-match="OCSD" data-professionid="3" data-allowed-jurisdictions="[&quot;CA&quot;]">OCSD - Oral Conscious Sedation Permit</option>
            <option value="243" data-match="OMS" data-professionid="3" data-allowed-jurisdictions="[&quot;CA&quot;]">OMS - Oral Maxillofacial Surgery Permit</option>
            <option value="316" data-match="PMSD" data-professionid="3" data-allowed-jurisdictions="[&quot;CA&quot;]">PMSD - Pediatric Minimal Sedation Permit</option>
            <option value="319" data-match="MNSD" data-professionid="3" data-allowed-jurisdictions="[&quot;WV&quot;]">MNSD - Dental Minimal Sedation Permit</option>
            <option value="321" data-match="DNTH" data-professionid="3" data-allowed-jurisdictions="[&quot;DE&quot;]">DNTH - Dentist Telehealth Registration</option>
            <option value="93" data-match="TPDN" data-professionid="3" data-hidden-jurisdictions="[&quot;FL&quot;,&quot;SC&quot;,&quot;OK&quot;]">TPDN - Temporary Dentist Permit</option>
          </optgroup>
          <optgroup label="Nursing Home Administrator" data-professionid="9">
            <option value="28" data-match="NHA" data-professionid="9">NHA - Nursing Home Administrator</option>
            <option value="98" data-match="TPNHA" data-professionid="9">TPNHA - Temporary Nursing Home Administrator</option>
          </optgroup>
          <optgroup label="Respiratory Therapist" data-professionid="13">
            <option value="33" data-match="RT" data-professionid="13">RT - Respiratory Therapist</option>
          </optgroup>
          <optgroup label="Research Professional" data-professionid="14">
            <option value="38" data-match="CCRA" data-professionid="14">CCRA - Certified Clinical Research Associate</option>
            <option value="37" data-match="CCRC" data-professionid="14">CCRC - Certified Clinical Research Coordinator</option>
            <option value="39" data-match="CCRI" data-professionid="14">CCRI - Certified Clinical Research Investigator</option>
          </optgroup>
          <optgroup label="Other/IACET" data-professionid="20">
            <option value="34" data-match="OTH" data-professionid="20">OTH - Other IACET qualification</option>
          </optgroup>
          <optgroup label="Medical Assistant" data-professionid="15">
            <option value="41" data-match="CMA" data-professionid="15">CMA - Certified Medical Assistant</option>
            <option value="40" data-match="MA" data-professionid="15">MA - Medical Assistant</option>
          </optgroup>
        </select>
      </div>
    </div>
    <!-- End Qualification Select -->
    <button type="submit" class="btn btn-green btn-gts" tabindex="11" data-search="1" data-loading-text="Start Now <i class='icon-spinner icon-spin'></i>">Start Now</button>
  </fieldset>
</form>

Name: quickcodePOST /quickcode.php

<form novalidate="novalidate" name="quickcode" class="ajax-form base-forms" id="quickcode" method="post" action="/quickcode.php">
  <fieldset data-form-section="">
    <p class="wc_booklettext">The back of your booklet contains your <span class="ignore-grid">Quick Code</span> and <span class="ignore-grid">Customer ID</span>. Enter your information here to get started!</p>
    <!-- Start Error Section for Quick Code & Customer ID validation -->
    <div class="error-placeholder" id="error_1"><!----></div>
    <!-- End Error Section for Quick Code & Customer ID validation -->
    <div class="control-group">
      <label class="hidden" for="code_field">Quick Code</label>
      <div class="controls prepend_icon large">
        <input id="code_field" type="text" name="code" maxlength="20" placeholder="Quick Code" tabindex="2" autocomplete="off" data-field-type="code" required="required" value="">
        <i class="icon-barcode"><!--  --></i>
      </div>
    </div>
    <div class="control-group">
      <label class="hidden" for="customer_id">Customer ID</label>
      <div class="controls prepend_icon large">
        <input id="customer_id" type="text" name="customerid" maxlength="20" placeholder="Customer ID" tabindex="3" autocomplete="off" pattern="[0-9]*" data-field-type="customerid" required="required" value="">
        <i class="icon-user"><!--  --></i>
      </div>
    </div>
    <p><a title="Don't have a quick code? Find your CE." id="no_qc" href="#new_visitor#new_visitor">Don't have a Quick Code?</a></p>
    <button type="submit" class="btn btn-green btn-gts" tabindex="5" data-loading-text="Start Now <i class='icon-spinner icon-spin'></i>">Start Now</button>
  </fieldset>
</form>

Name: request-bookletPOST /register.php

<form class="span6 base-forms base-select ajax-form" novalidate="novalidate" name="request-booklet" id="request-booklet" method="post" action="/register.php">
  <input type="hidden" name="action" value="0f147821ad062de195aae3ef22b6129d">
  <input type="hidden" name="dest" value="booklet">
  <fieldset data-form-section="">
    <div class="error-placeholder" id="error_4"><!----></div>
    <div class="row-fluid">
      <!-- First Name -->
      <div class="span4 register_fn">
        <div class="control-group">
          <label class="hidden" for="first_name">First Name</label>
          <div class="controls prepend_icon">
            <input type="text" id="first_name" placeholder="First Name" class="input-block-level" tabindex="13" name="firstname" maxlength="20" data-field-type="firstname" required="required" value="">
            <i class="icon-user"><!--  --></i>
          </div>
        </div>
      </div>
      <!-- MI -->
      <div class="span3 register_mi">
        <div class="control-group">
          <label class="hidden" for="middle_initial">Middle Name</label>
          <div class="controls">
            <input type="text" id="middle_initial" placeholder="Middle" name="middlename" class="input-block-level" tabindex="14" maxlength="20" data-field-type="middlename" value="">
          </div>
        </div>
      </div>
      <div class="clearfix visible-phone"><!--  --></div>
      <!-- Last Name -->
      <div class="span5 register_ln">
        <div class="control-group">
          <label class="hidden" for="last_name">Last Name</label>
          <div class="controls prepend_icon">
            <input type="text" id="last_name" placeholder="Last Name" class="input-block-level" tabindex="15" name="lastname" maxlength="30" data-field-type="lastname" required="required" value="">
            <i class="icon-user"><!--  --></i>
          </div>
        </div>
      </div>
    </div>
    <div class="row-fluid">
      <div class="control-group">
        <div class="span12 bsl-wrap">
          <!-- End Error Section for State and Profession validation -->
          <!-- |||||| -->
          <div class="select2-container ga_s" id="s2id_state_select_small" style="width: 100%;">
            <a href="javascript:void(0)" class="select2-choice select2-default" tabindex="-1">   <span class="select2-chosen" id="select2-chosen-4">Select Your State or Jurisdiction</span><abbr class="select2-search-choice-close"></abbr>   <span class="select2-arrow" role="presentation"><b role="presentation"></b></span></a><label
              for="s2id_autogen4" class="select2-offscreen"></label><input class="select2-focusser select2-offscreen" type="text" aria-haspopup="true" role="button" aria-labelledby="select2-chosen-4" id="s2id_autogen4" tabindex="16">
            <div class="select2-drop select2-display-none target_id_state_select_small select2-small select2-with-searchbox">
              <div class="select2-search"> <label for="s2id_autogen4_search" class="select2-offscreen"></label> <input type="text" autocomplete="off" autocorrect="off" autocapitalize="off" spellcheck="false" class="select2-input" role="combobox"
                  aria-expanded="true" aria-autocomplete="list" aria-owns="select2-results-4" id="s2id_autogen4_search" placeholder=""> </div>
              <ul class="select2-results" role="listbox" id="select2-results-4"> </ul>
            </div>
          </div><select tabindex="-1" name="jurisdiction" id="state_select_small" class="ga_s select2-small select2-offscreen" data-placeholder="Select Your State or Jurisdiction" data-connected-fields="license" data-field-type="state"
            required="required" title="">
            <option><!--  --></option>
            <option value="AL" data-match="AL">Alabama</option>
            <option value="AK" data-match="AK">Alaska</option>
            <option value="AS" data-match="AS">American Samoa</option>
            <option value="AZ" data-match="AZ">Arizona</option>
            <option value="AR" data-match="AR">Arkansas</option>
            <option value="BS" data-match="BS">Bahamas</option>
            <option value="CA" data-match="CA">California</option>
            <option value="CO" data-match="CO">Colorado</option>
            <option value="CT" data-match="CT">Connecticut</option>
            <option value="DE" data-match="DE">Delaware</option>
            <option value="DC" data-match="DC">District of Columbia</option>
            <option value="FL" data-match="FL">Florida</option>
            <option value="GA" data-match="GA">Georgia</option>
            <option value="GU" data-match="GU">Guam</option>
            <option value="HI" data-match="HI">Hawaii</option>
            <option value="ID" data-match="ID">Idaho</option>
            <option value="IL" data-match="IL">Illinois</option>
            <option value="IN" data-match="IN">Indiana</option>
            <option value="IA" data-match="IA">Iowa</option>
            <option value="KS" data-match="KS">Kansas</option>
            <option value="KY" data-match="KY">Kentucky</option>
            <option value="LA" data-match="LA">Louisiana</option>
            <option value="ME" data-match="ME">Maine</option>
            <option value="MH" data-match="MH">Marshall Islands</option>
            <option value="MD" data-match="MD">Maryland</option>
            <option value="MA" data-match="MA">Massachusetts</option>
            <option value="MI" data-match="MI">Michigan</option>
            <option value="FM" data-match="FM">Micronesia</option>
            <option value="MN" data-match="MN">Minnesota</option>
            <option value="MS" data-match="MS">Mississippi</option>
            <option value="MO" data-match="MO">Missouri</option>
            <option value="MT" data-match="MT">Montana</option>
            <option value="NE" data-match="NE">Nebraska</option>
            <option value="NV" data-match="NV">Nevada</option>
            <option value="NH" data-match="NH">New Hampshire</option>
            <option value="NJ" data-match="NJ">New Jersey</option>
            <option value="NM" data-match="NM">New Mexico</option>
            <option value="NY" data-match="NY">New York</option>
            <option value="XX" data-match="XX">Non-US</option>
            <option value="NC" data-match="NC">North Carolina</option>
            <option value="ND" data-match="ND">North Dakota</option>
            <option value="MP" data-match="MP">Northern Marianas</option>
            <option value="OH" data-match="OH">Ohio</option>
            <option value="OK" data-match="OK">Oklahoma</option>
            <option value="OR" data-match="OR">Oregon</option>
            <option value="PW" data-match="PW">Palau</option>
            <option value="PA" data-match="PA">Pennsylvania</option>
            <option value="PR" data-match="PR">Puerto Rico</option>
            <option value="RI" data-match="RI">Rhode Island</option>
            <option value="SC" data-match="SC">South Carolina</option>
            <option value="SD" data-match="SD">South Dakota</option>
            <option value="TN" data-match="TN">Tennessee</option>
            <option value="TX" data-match="TX">Texas</option>
            <option value="US" data-match="US">US Nationally-Certified</option>
            <option value="UT" data-match="UT">Utah</option>
            <option value="VT" data-match="VT">Vermont</option>
            <option value="VA" data-match="VA">Virginia</option>
            <option value="VI" data-match="VI">Virgin Islands</option>
            <option value="WA" data-match="WA">Washington</option>
            <option value="WV" data-match="WV">West Virginia</option>
            <option value="WI" data-match="WI">Wisconsin</option>
            <option value="WY" data-match="WY">Wyoming</option>
          </select>
        </div>
      </div>
    </div>
    <div class="row-fluid">
      <!-- Profession Message Area -->
      <div id="prof-mes"><!--  --></div>
      <!-- Qualification Message Area -->
      <div id="qual-mes"><!--  --></div>
    </div>
    <div class="row-fluid">
      <div class="control-group">
        <div class="span12 bsl-wrap ">
          <div class="select2-container" id="s2id_professionid_small" style="width: 100%;">
            <a href="javascript:void(0)" class="select2-choice select2-default" tabindex="-1">   <span class="select2-chosen" id="select2-chosen-5">Select Your Profession</span><abbr class="select2-search-choice-close"></abbr>   <span class="select2-arrow" role="presentation"><b role="presentation"></b></span></a><label
              for="s2id_autogen5" class="select2-offscreen"></label><input class="select2-focusser select2-offscreen" type="text" aria-haspopup="true" role="button" aria-labelledby="select2-chosen-5" id="s2id_autogen5" tabindex="17">
            <div class="select2-drop select2-display-none target_id_professionid_small select2-small select2-with-searchbox">
              <div class="select2-search"> <label for="s2id_autogen5_search" class="select2-offscreen"></label> <input type="text" autocomplete="off" autocorrect="off" autocapitalize="off" spellcheck="false" class="select2-input" role="combobox"
                  aria-expanded="true" aria-autocomplete="list" aria-owns="select2-results-5" id="s2id_autogen5_search" placeholder=""> </div>
              <ul class="select2-results" role="listbox" id="select2-results-5"> </ul>
            </div>
          </div><select data-field-type="profession" id="professionid_small" class="select2-small select2-offscreen" data-independent="true" data-placeholder="Select Your Profession" tabindex="-1" data-connected-fields="license" required="required"
            name="professionid" title="">
            <option value="" disabled="disabled" selected="selected" data-certifications="[]"></option>
            <option value="1" data-match="Nurses" data-certifications="[]">Nurse</option>
            <option value="10" data-match="Advanced Practice Registered Nurses" data-certifications="[]">Advanced Practice Nurse</option>
            <option value="2" data-match="Physicians" data-certifications="[]">Physician</option>
            <option value="11" data-match="Physician Assistants" data-certifications="[]">Physician Assistant</option>
            <option value="26" data-match="Pharmacists" data-certifications="[]">Pharmacist</option>
            <option value="27" data-match="Pharmacy Technicians" data-certifications="[]">Pharmacy Technician</option>
            <option value="4" data-match="Social Workers" data-certifications="[]">Social Worker</option>
            <option value="16" data-match="Counselors/Therapists" data-certifications="[]">Counselor/Therapist</option>
            <option value="5" data-match="Psychologists" data-certifications="[]">Psychologist</option>
            <option value="7" data-match="Case Managers" data-certifications="[]">Certified Case Manager</option>
            <option value="25" data-match="Certified Diabetes Educators" data-certifications="[]">Certified Diabetes Educator</option>
            <option value="17" data-match="Nursing Assistants" data-certifications="[]">Nursing Assistant</option>
            <option value="24" data-match="Certified Surgical Assistant" data-certifications="[]">Certified Surgical Assistant</option>
            <option value="6" data-match="CSTs/CSFAs" data-certifications="[]">CST/CSFA</option>
            <option value="23" data-match="Dental Assistants" data-certifications="[]">Dental Assistant</option>
            <option value="22" data-match="Dental Hygienists" data-certifications="[]">Dental Hygienist</option>
            <option value="3" data-match="Dentists" data-certifications="[]">Dentist</option>
            <option value="9" data-match="Nursing Home Administrators" data-certifications="[]">Nursing Home Administrator</option>
            <option value="20" data-match="Other/IACET" data-certifications="[]">Other/IACET</option>
          </select>
        </div>
      </div>
    </div>
    <div class="row-fluid">
      <div class="control-group">
        <div class="span12 bsl-wrap">
          <div class="select2-container" id="s2id_qualificationid_small" style="width: 100%;">
            <a href="javascript:void(0)" class="select2-choice select2-default" tabindex="-1">   <span class="select2-chosen" id="select2-chosen-6">Select Your Professional Title</span><abbr class="select2-search-choice-close"></abbr>   <span class="select2-arrow" role="presentation"><b role="presentation"></b></span></a><label
              for="s2id_autogen6" class="select2-offscreen"></label><input class="select2-focusser select2-offscreen" type="text" aria-haspopup="true" role="button" aria-labelledby="select2-chosen-6" id="s2id_autogen6" tabindex="18">
            <div class="select2-drop select2-display-none target_id_qualificationid_small select2-small select2-with-searchbox">
              <div class="select2-search"> <label for="s2id_autogen6_search" class="select2-offscreen"></label> <input type="text" autocomplete="off" autocorrect="off" autocapitalize="off" spellcheck="false" class="select2-input" role="combobox"
                  aria-expanded="true" aria-autocomplete="list" aria-owns="select2-results-6" id="s2id_autogen6_search" placeholder=""> </div>
              <ul class="select2-results" role="listbox" id="select2-results-6"> </ul>
            </div>
          </div><select data-field-type="qualification" id="qualificationid_small" class="select2-small select2-offscreen" tabindex="-1" data-independent="1" data-placeholder="Select Your Professional Title"
            data-jurisdiction-selector="#state_select_small" data-connected-fields="license" required="required" name="qualificationid" title="">
            <option value="" selected="selected"></option>
            <optgroup label="Nurse" data-professionid="1">
              <option value="106" data-match="APRN" data-professionid="1" data-allowed-jurisdictions="[&quot;GA&quot;]">APRN - Advanced Practice Registered Nurse</option>
              <option value="6" data-match="CAPT" data-professionid="1" data-allowed-jurisdictions="[&quot;CA&quot;,&quot;NY&quot;]">CAPT - California Psychiatric Technician</option>
              <option value="55" data-match="FLSLP" data-professionid="1" data-allowed-jurisdictions="[&quot;FL&quot;]">FLSLP - Florida Speech/Language Pathologist</option>
              <option value="3" data-match="LPN" data-professionid="1" data-allowed-jurisdictions="[&quot;NH&quot;,&quot;WA&quot;]" data-hidden-jurisdictions="[&quot;CA&quot;,&quot;TX&quot;]">LPN - Licensed Practical Nurse</option>
              <option value="268" data-match="LPNV" data-professionid="1" data-allowed-jurisdictions="[&quot;MI&quot;]">LPNV - Licensed Practical Nurse Volunteer</option>
              <option value="267" data-match="RNV" data-professionid="1" data-allowed-jurisdictions="[&quot;MI&quot;]">RNV - Registered Nurse Volunteer</option>
              <option value="1" data-match="RN" data-professionid="1">RN - Registered Nurse</option>
              <option value="2" data-match="LVN" data-professionid="1" data-allowed-jurisdictions="[&quot;TX&quot;,&quot;CA&quot;]">LVN - Licensed Vocational Nurse</option>
              <option value="45" data-match="CHT" data-professionid="1" data-allowed-jurisdictions="[&quot;US&quot;]">CHT - Certified Hemodialysis Technician</option>
              <option value="54" data-match="CLP" data-professionid="1" data-allowed-jurisdictions="[&quot;US&quot;]">CLP - Clinical Laboratory Personnel</option>
              <option value="57" data-match="CCT" data-professionid="1" data-allowed-jurisdictions="[&quot;US&quot;]">CCT - Certified Cardiographic Technician</option>
              <option value="199" data-match="LMHT" data-professionid="1" data-allowed-jurisdictions="[&quot;KS&quot;]">LMHT - Licensed Mental Health Technician</option>
              <option value="91" data-match="TPN" data-professionid="1" data-hidden-jurisdictions="[&quot;US&quot;]">TPN - Temporary Nurse Permit</option>
              <option value="147" data-match="PHN" data-professionid="1" data-allowed-jurisdictions="[&quot;CA&quot;]">PHN - Public Health Nurse</option>
              <option value="157" data-match="PMH" data-professionid="1" data-allowed-jurisdictions="[&quot;CA&quot;]">PMH - Psychiatric Mental Health Nurse</option>
            </optgroup>
            <optgroup label="Advanced Practice Nurse" data-professionid="10">
              <option value="5" data-match="ARNP" data-professionid="10" data-allowed-jurisdictions="[&quot;WA&quot;,&quot;US&quot;]">ARNP - Advanced Registered Nurse Practitioner</option>
              <option value="88" data-match="CRNP" data-professionid="10" data-allowed-jurisdictions="[&quot;PA&quot;,&quot;AL&quot;]">CRNP - Certified Registered Nurse Practitioner</option>
              <option value="61" data-match="DTR" data-professionid="10" data-allowed-jurisdictions="[&quot;US&quot;]">DTR - Dietetic Technician, Registered</option>
              <option value="67" data-match="FLAP" data-professionid="10" data-allowed-jurisdictions="[&quot;FL&quot;]">FLAP - Florida Acupuncturist</option>
              <option value="77" data-match="FNP" data-professionid="10" data-allowed-jurisdictions="[&quot;US&quot;]">FNP - Family Nurse Practitioner</option>
              <option value="164" data-match="ND" data-professionid="10" data-allowed-jurisdictions="[&quot;US&quot;]">ND - Nutritionist, Dietician, Nutrition Counselor</option>
              <option value="60" data-match="RD" data-professionid="10" data-allowed-jurisdictions="[&quot;US&quot;]">RD - Registered Dietician</option>
              <option value="90" data-match="SA" data-professionid="10" data-allowed-jurisdictions="[&quot;US&quot;]">SA - Surgical Assistant</option>
              <option value="49" data-match="APRN" data-professionid="10"
                data-hidden-jurisdictions="[&quot;TX&quot;,&quot;MI&quot;,&quot;CO&quot;,&quot;AL&quot;,&quot;KY&quot;,&quot;PA&quot;,&quot;AZ&quot;,&quot;NJ&quot;,&quot;MN&quot;,&quot;NM&quot;,&quot;DE&quot;]">APRN - Advanced Practice Registered
                Nurse</option>
              <option value="158" data-match="CNP" data-professionid="10"
                data-hidden-jurisdictions="[&quot;GA&quot;,&quot;KS&quot;,&quot;TX&quot;,&quot;WV&quot;,&quot;MI&quot;,&quot;CO&quot;,&quot;KY&quot;,&quot;PA&quot;,&quot;MS&quot;,&quot;SC&quot;,&quot;FL&quot;,&quot;AZ&quot;,&quot;NJ&quot;,&quot;AK&quot;,&quot;DE&quot;,&quot;AL&quot;]">
                CNP - Certified Nurse Practitioner</option>
              <option value="53" data-match="NP" data-professionid="10" data-allowed-jurisdictions="[&quot;NY&quot;,&quot;KS&quot;,&quot;MS&quot;,&quot;TX&quot;,&quot;VA&quot;,&quot;MI&quot;]"
                data-hidden-jurisdictions="[&quot;AL&quot;,&quot;WV&quot;,&quot;AK&quot;,&quot;PA&quot;,&quot;FL&quot;,&quot;NJ&quot;,&quot;MN&quot;]">NP - Nurse Practitioner</option>
              <option value="59" data-match="CNS" data-professionid="10" data-hidden-jurisdictions="[&quot;GA&quot;,&quot;WV&quot;,&quot;FL&quot;,&quot;AK&quot;,&quot;NJ&quot;]">CNS - Clinical Nurse Specialist</option>
              <option value="69" data-match="CRNA" data-professionid="10" data-hidden-jurisdictions="[&quot;GA&quot;,&quot;WV&quot;,&quot;PA&quot;,&quot;FL&quot;,&quot;NJ&quot;,&quot;MI&quot;]">CRNA - Certified Registered Nurse Anesthetist</option>
              <option value="151" data-match="CNM" data-professionid="10" data-hidden-jurisdictions="[&quot;GA&quot;,&quot;WV&quot;,&quot;PA&quot;,&quot;KS&quot;,&quot;FL&quot;,&quot;AK&quot;,&quot;MI&quot;]">CNM - Certified Nurse Midwife</option>
              <option value="7" data-match="CCRN" data-professionid="10" data-allowed-jurisdictions="[&quot;US&quot;]">CCRN - Critical Care Registered Nurse</option>
              <option value="254" data-match="NA" data-professionid="10" data-allowed-jurisdictions="[&quot;MI&quot;]">NA - Nurse Anesthetist</option>
              <option value="214" data-match="NMW" data-professionid="10" data-allowed-jurisdictions="[&quot;WA&quot;,&quot;PA&quot;,&quot;KS&quot;,&quot;IN&quot;,&quot;MD&quot;,&quot;MO&quot;,&quot;TN&quot;,&quot;VT&quot;,&quot;WI&quot;]">NMW -
                Nurse Midwife</option>
              <option value="8" data-match="RNC" data-professionid="10" data-allowed-jurisdictions="[&quot;US&quot;]">RNC - Certified Registered Nurse</option>
              <option value="43" data-match="CNOR" data-professionid="10" data-allowed-jurisdictions="[&quot;US&quot;]">CNOR - Certified Nurse in the Operating Room</option>
              <option value="255" data-match="NM" data-professionid="10" data-allowed-jurisdictions="[&quot;MI&quot;]">NM - Nurse Midwife</option>
              <option value="261" data-match="ACL" data-professionid="10" data-allowed-jurisdictions="[&quot;GA&quot;]">ACL - Assistant Cosmetic Laser Practitioner</option>
              <option value="262" data-match="SCL" data-professionid="10" data-allowed-jurisdictions="[&quot;GA&quot;]">SCL - Senior Cosmetic Laser Practitioner</option>
              <option value="70" data-match="APN" data-professionid="10" data-allowed-jurisdictions="[&quot;WI&quot;,&quot;NJ&quot;]">APN - Advanced Practice Nurse</option>
              <option value="170" data-match="CPM" data-professionid="10" data-allowed-jurisdictions="[&quot;NJ&quot;,&quot;DE&quot;,&quot;AZ&quot;]">CPM - Certified Professional Midwife</option>
              <option value="42" data-match="CM" data-professionid="10" data-allowed-jurisdictions="[&quot;NJ&quot;,&quot;AK&quot;]">CM - Certified Midwife</option>
              <option value="206" data-match="LM" data-professionid="10" data-allowed-jurisdictions="[&quot;FL&quot;,&quot;CO&quot;,&quot;AZ&quot;,&quot;CT&quot;,&quot;CA&quot;]">LM - Licensed Midwife</option>
              <option value="326" data-match="DCNP" data-professionid="10">DCNP - Dermatology Certified Nurse Practitioner</option>
              <option value="44" data-match="RCP" data-professionid="10" data-allowed-jurisdictions="[&quot;GA&quot;,&quot;TX&quot;,&quot;US&quot;]">RCP - Respiratory Care Practitioner</option>
              <option value="215" data-match="RXA" data-professionid="10" data-allowed-jurisdictions="[&quot;CA&quot;,&quot;CO&quot;]">RXA - Prescribing Authority</option>
              <option value="99" data-match="TPNP" data-professionid="10" data-hidden-jurisdictions="[&quot;US&quot;]">TPNP - Temporary Nurse Practitioner Permit</option>
            </optgroup>
            <optgroup label="Physician" data-professionid="2">
              <option value="269" data-match="DOCL" data-professionid="2" data-allowed-jurisdictions="[&quot;MI&quot;]">DOCL - Osteopathic Doctor Compact License</option>
              <option value="48" data-match="DPM" data-professionid="2" data-allowed-jurisdictions="[&quot;KS&quot;]" data-hidden-jurisdictions="[&quot;BS&quot;]">DPM - Doctor of Podiatric Medicine</option>
              <option value="51" data-match="FP" data-professionid="2" data-allowed-jurisdictions="[&quot;US&quot;]">FP - Family Physician</option>
              <option value="11" data-match="MD" data-professionid="2" data-allowed-jurisdictions="[&quot;WI&quot;]" data-hidden-jurisdictions="[&quot;BS&quot;]">MD - Medical Doctor</option>
              <option value="265" data-match="MDCL" data-professionid="2" data-allowed-jurisdictions="[&quot;MI&quot;]">MDCL - Medical Doctor Compact License</option>
              <option value="230" data-match="TPDO" data-professionid="2" data-allowed-jurisdictions="[&quot;FM&quot;]">TPDO - Temporary Osteopathic Physician Permit</option>
              <option value="237" data-match="MP" data-professionid="2" data-allowed-jurisdictions="[&quot;BS&quot;]">MP - Medical Practitioner</option>
              <option value="12" data-match="DO" data-professionid="2" data-hidden-jurisdictions="[&quot;BS&quot;]">DO - Osteopathic Doctor</option>
              <option value="238" data-match="SMP" data-professionid="2" data-allowed-jurisdictions="[&quot;BS&quot;]">SMP - Specialty Medical Practitioner</option>
              <option value="68" data-match="DC" data-professionid="2" data-hidden-jurisdictions="[&quot;BS&quot;]">DC - Doctor of Chiropractic</option>
              <option value="169" data-match="DNM" data-professionid="2" data-hidden-jurisdictions="[&quot;BS&quot;,&quot;FL&quot;]">DNM - Doctor of Naturopathic Medicine</option>
              <option value="327" data-match="MDL" data-professionid="2" data-allowed-jurisdictions="[&quot;US&quot;]">MDL - Medical Doctor Limited License</option>
              <option value="328" data-match="DOL" data-professionid="2" data-allowed-jurisdictions="[&quot;US&quot;]">DOL - Osteopathic Doctor Limited License</option>
              <option value="329" data-match="MDV" data-professionid="2" data-allowed-jurisdictions="[&quot;US&quot;]">MDV - Medical Doctor Volunteer</option>
              <option value="330" data-match="DOV" data-professionid="2" data-allowed-jurisdictions="[&quot;US&quot;]">DOV - Osteopathic Doctor Volunteer</option>
              <option value="331" data-match="MDF" data-professionid="2" data-allowed-jurisdictions="[&quot;US&quot;]">MDF - Medical Doctor Faculty</option>
              <option value="332" data-match="DOF" data-professionid="2" data-allowed-jurisdictions="[&quot;US&quot;]">DOF - Osteopathic Doctor Faculty</option>
              <option value="92" data-match="TPMD" data-professionid="2" data-hidden-jurisdictions="[&quot;BS&quot;]">TPMD - Temporary Physician Permit</option>
            </optgroup>
            <optgroup label="Physician Assistant" data-professionid="11">
              <option value="165" data-match="OPA" data-professionid="11" data-allowed-jurisdictions="[&quot;PA&quot;,&quot;ME&quot;,&quot;NM&quot;,&quot;NV&quot;,&quot;WV&quot;]">OPA - Osteopathic Physician Assistant</option>
              <option value="13" data-match="PA" data-professionid="11">PA - Physician Assistant</option>
              <option value="100" data-match="TPPA" data-professionid="11">TPPA - Temporary Physician Assistant Permit</option>
              <option value="103" data-match="AA" data-professionid="11"
                data-allowed-jurisdictions="[&quot;FL&quot;,&quot;MO&quot;,&quot;WI&quot;,&quot;CO&quot;,&quot;DC&quot;,&quot;IN&quot;,&quot;SC&quot;,&quot;NC&quot;,&quot;AL&quot;,&quot;VT&quot;,&quot;OK&quot;,&quot;OH&quot;,&quot;GA&quot;]">AA -
                Anesthesiologist Assistant</option>
              <option value="46" data-match="MP" data-professionid="11" data-allowed-jurisdictions="[&quot;FL&quot;]">MP - Medical Physicist</option>
            </optgroup>
            <optgroup label="Pharmacist" data-professionid="26">
              <option value="288" data-match="ADV" data-professionid="26" data-allowed-jurisdictions="[&quot;ME&quot;]">ADV - Administration of Drugs and Vaccines Approval</option>
              <option value="287" data-match="CA" data-professionid="26" data-allowed-jurisdictions="[&quot;ME&quot;]">CA - Contraceptive Administration Approval</option>
              <option value="283" data-match="CPA" data-professionid="26" data-allowed-jurisdictions="[&quot;ME&quot;,&quot;NJ&quot;]">CPA - Collaborative Practice Approval</option>
              <option value="285" data-match="DTMP" data-professionid="26" data-allowed-jurisdictions="[&quot;GA&quot;]">DTMP - Drug Therapy Modification Protocol Approval</option>
              <option value="284" data-match="IA" data-professionid="26" data-allowed-jurisdictions="[&quot;NJ&quot;]">IA - Immunization Administration Approval</option>
              <option value="281" data-match="PIC" data-professionid="26" data-allowed-jurisdictions="[&quot;LA&quot;,&quot;ME&quot;,&quot;SC&quot;]">PIC - Pharmacist in Charge</option>
              <option value="195" data-match="PH" data-professionid="26"
                data-hidden-jurisdictions="[&quot;WV&quot;,&quot;CA&quot;,&quot;GA&quot;,&quot;ND&quot;,&quot;OH&quot;,&quot;OK&quot;,&quot;OR&quot;,&quot;PA&quot;,&quot;RI&quot;,&quot;MT&quot;]">PH - Pharmacist</option>
              <option value="205" data-match="RPH" data-professionid="26"
                data-allowed-jurisdictions="[&quot;WV&quot;,&quot;CA&quot;,&quot;GA&quot;,&quot;ND&quot;,&quot;OH&quot;,&quot;OK&quot;,&quot;OR&quot;,&quot;PA&quot;,&quot;RI&quot;,&quot;MT&quot;]">RPH - Registered Pharmacist</option>
              <option value="286" data-match="APH" data-professionid="26" data-allowed-jurisdictions="[&quot;CA&quot;]">APH - Advanced Practice Pharmacist</option>
              <option value="274" data-match="CPH" data-professionid="26" data-allowed-jurisdictions="[&quot;FL&quot;]">CPH - Consultant Pharmacist</option>
              <option value="290" data-match="PHV" data-professionid="26" data-allowed-jurisdictions="[&quot;MI&quot;]">PHV - Pharmacist Special Volunteer</option>
              <option value="278" data-match="CPP" data-professionid="26" data-allowed-jurisdictions="[&quot;NC&quot;,&quot;NC&quot;,&quot;MT&quot;]">CPP - Clinical Pharmacist Practitioner</option>
              <option value="275" data-match="NPH" data-professionid="26" data-allowed-jurisdictions="[&quot;GA&quot;,&quot;FL&quot;]">NPH - Nuclear Pharmacist</option>
              <option value="279" data-match="TPPH" data-professionid="26">TPPH - Temporary Pharmacist</option>
            </optgroup>
            <optgroup label="Pharmacy Technician" data-professionid="27">
              <option value="196" data-match="CPHT" data-professionid="27"
                data-allowed-jurisdictions="[&quot;ID&quot;,&quot;NH&quot;,&quot;OR&quot;,&quot;KY&quot;,&quot;KS&quot;,&quot;LA&quot;,&quot;MT&quot;,&quot;OH&quot;,&quot;SC&quot;,&quot;SD&quot;]">CPHT - Certified Pharmacy Technician</option>
              <option value="282" data-match="PHA" data-professionid="27" data-allowed-jurisdictions="[&quot;WA&quot;]">PHA - Pharmacy Assistant</option>
              <option value="229" data-match="RPHT" data-professionid="27" data-allowed-jurisdictions="[&quot;FL&quot;,&quot;ND&quot;,&quot;NH&quot;,&quot;NY&quot;,&quot;OH&quot;,&quot;WY&quot;]">RPHT - Registered Pharmacy Technician</option>
              <option value="277" data-match="PHT" data-professionid="27"
                data-hidden-jurisdictions="[&quot;FL&quot;,&quot;KS&quot;,&quot;LA&quot;,&quot;MT&quot;,&quot;ND&quot;,&quot;NH&quot;,&quot;NY&quot;,&quot;SD&quot;,&quot;WY&quot;,&quot;OH&quot;]">PHT - Pharmacy Technician</option>
              <option value="276" data-match="NPHT" data-professionid="27" data-allowed-jurisdictions="[&quot;FL&quot;,&quot;WV&quot;]">NPHT - Nuclear Pharmacy Technician</option>
              <option value="280" data-match="TPPHT" data-professionid="27">TPPHT - Temporary Pharmacy Technician</option>
              <option value="291" data-match="PHTV" data-professionid="27" data-allowed-jurisdictions="[&quot;MI&quot;]">PHTV - Pharmacy Technician Special Volunteer</option>
            </optgroup>
            <optgroup label="Social Worker" data-professionid="4">
              <option value="249" data-match="BSW" data-professionid="4" data-allowed-jurisdictions="[&quot;PA&quot;]">BSW - Bachelor Social Worker</option>
              <option value="144" data-match="CMSW" data-professionid="4" data-allowed-jurisdictions="[&quot;NC&quot;,&quot;NE&quot;,&quot;FL&quot;]">CMSW - Certified Master Social Worker</option>
              <option value="63" data-match="CSW" data-professionid="4"
                data-allowed-jurisdictions="[&quot;NC&quot;,&quot;RI&quot;,&quot;UT&quot;,&quot;WY&quot;,&quot;MS&quot;,&quot;NJ&quot;,&quot;GA&quot;,&quot;KY&quot;,&quot;LA&quot;,&quot;SD&quot;,&quot;US&quot;,&quot;NE&quot;]">CSW - Certified Social
                Worker</option>
              <option value="248" data-match="CSW" data-professionid="4" data-allowed-jurisdictions="[&quot;??&quot;,&quot;AK&quot;,&quot;PA&quot;,&quot;NH&quot;]">CSW - Clinical Social Worker</option>
              <option value="233" data-match="CSWA" data-professionid="4" data-allowed-jurisdictions="[&quot;CA&quot;,&quot;OR&quot;]">CSWA - Clinical Social Work Associate</option>
              <option value="84" data-match="CSWI" data-professionid="4" data-allowed-jurisdictions="[&quot;FM&quot;]">CSWI - Registered Clinical Social Work Intern</option>
              <option value="247" data-match="LCSW" data-professionid="4" data-allowed-jurisdictions="[&quot;AR&quot;,&quot;??&quot;,&quot;MA&quot;,&quot;MS&quot;,&quot;WV&quot;]">LCSW - Licensed Certified Social Worker</option>
              <option value="245" data-match="LCSWC" data-professionid="4" data-allowed-jurisdictions="[&quot;MD&quot;]">LCSWC - Licensed Certified Social Worker Clinical</option>
              <option value="135" data-match="LGSW" data-professionid="4" data-allowed-jurisdictions="[&quot;MN&quot;,&quot;WV&quot;,&quot;DC&quot;]">LGSW - Licensed Graduate Social Worker</option>
              <option value="250" data-match="LISWCP" data-professionid="4" data-allowed-jurisdictions="[&quot;SC&quot;]">LISWCP - Licensed Independent Social Worker Clinical Practice</option>
              <option value="21" data-match="LSW" data-professionid="4"
                data-allowed-jurisdictions="[&quot;AR&quot;,&quot;HI&quot;,&quot;CO&quot;,&quot;NV&quot;,&quot;MN&quot;,&quot;IN&quot;,&quot;MA&quot;,&quot;MS&quot;,&quot;OH&quot;,&quot;VA&quot;,&quot;IL&quot;,&quot;WV&quot;,&quot;NJ&quot;,&quot;KY&quot;,&quot;ME&quot;,&quot;ND&quot;,&quot;OK&quot;]">
                LSW - Licensed Social Worker</option>
              <option value="258" data-match="LSWI" data-professionid="4" data-allowed-jurisdictions="[&quot;ID&quot;]">LSWI - Licensed Social Worker Independent</option>
              <option value="138" data-match="MSW" data-professionid="4" data-allowed-jurisdictions="[&quot;AK&quot;,&quot;GA&quot;,&quot;ME&quot;,&quot;US&quot;]">MSW - Master Social Worker</option>
              <option value="149" data-match="RSW" data-professionid="4" data-allowed-jurisdictions="[&quot;OH&quot;,&quot;OR&quot;,&quot;VA&quot;,&quot;LA&quot;]">RSW - Registered Social Worker</option>
              <option value="306" data-match="SSW" data-professionid="4" data-allowed-jurisdictions="[&quot;NH&quot;]">SSW - School Social Worker</option>
              <option value="30" data-match="SW" data-professionid="4"
                data-allowed-jurisdictions="[&quot;UT&quot;,&quot;VA&quot;,&quot;WI&quot;,&quot;PA&quot;,&quot;SD&quot;,&quot;AS&quot;,&quot;GU&quot;,&quot;MH&quot;,&quot;FM&quot;,&quot;MP&quot;,&quot;XX&quot;,&quot;PW&quot;,&quot;PR&quot;,&quot;VI&quot;]">
                SW - Social Worker</option>
              <option value="139" data-match="SWA" data-professionid="4" data-allowed-jurisdictions="[&quot;WA&quot;,&quot;VA&quot;]">SWA - Social Work Associate</option>
              <option value="257" data-match="SWS" data-professionid="4">SWS - Social Worker Supervisor</option>
              <option value="94" data-match="TPSW" data-professionid="4" data-allowed-jurisdictions="[&quot;FM&quot;]">TPSW - Temporary Social Worker Permit</option>
              <option value="218" data-match="APSW" data-professionid="4" data-allowed-jurisdictions="[&quot;WA&quot;,&quot;WI&quot;,&quot;WI&quot;]">APSW - Advanced Practice Social Worker</option>
              <option value="152" data-match="ASW" data-professionid="4">ASW - Associate Social Worker</option>
              <option value="17" data-match="LCSW" data-professionid="4"
                data-allowed-jurisdictions="[&quot;MO&quot;,&quot;AZ&quot;,&quot;HI&quot;,&quot;CO&quot;,&quot;IN&quot;,&quot;MD&quot;,&quot;MT&quot;,&quot;ID&quot;,&quot;NV&quot;,&quot;DE&quot;,&quot;NC&quot;,&quot;NM&quot;,&quot;NY&quot;,&quot;OR&quot;,&quot;TX&quot;,&quot;UT&quot;,&quot;VA&quot;,&quot;WI&quot;,&quot;WY&quot;,&quot;CA&quot;,&quot;IL&quot;,&quot;NJ&quot;,&quot;CT&quot;,&quot;FL&quot;,&quot;KY&quot;,&quot;LA&quot;,&quot;ME&quot;,&quot;ND&quot;,&quot;TN&quot;,&quot;OK&quot;,&quot;VT&quot;]">
                LCSW - Licensed Clinical Social Worker</option>
              <option value="66" data-match="LISW" data-professionid="4" data-allowed-jurisdictions="[&quot;SC&quot;,&quot;NV&quot;,&quot;MN&quot;,&quot;NM&quot;,&quot;OH&quot;,&quot;WI&quot;,&quot;WV&quot;,&quot;IA&quot;,&quot;DC&quot;]">LISW -
                Licensed Independent Social Worker</option>
              <option value="228" data-match="LAPSW" data-professionid="4" data-allowed-jurisdictions="[&quot;TN&quot;]">LAPSW - Licensed Advanced Practitioner Social Worker</option>
              <option value="244" data-match="LISWD" data-professionid="4" data-allowed-jurisdictions="[&quot;SC&quot;]">LISWD - Licensed Independent Social Worker Dual Practice</option>
              <option value="73" data-match="LBSW" data-professionid="4"
                data-allowed-jurisdictions="[&quot;AL&quot;,&quot;AZ&quot;,&quot;HI&quot;,&quot;SC&quot;,&quot;MD&quot;,&quot;AK&quot;,&quot;KS&quot;,&quot;MI&quot;,&quot;MT&quot;,&quot;ID&quot;,&quot;DE&quot;,&quot;IN&quot;,&quot;NM&quot;,&quot;TX&quot;,&quot;VA&quot;,&quot;IA&quot;,&quot;MO&quot;,&quot;US&quot;,&quot;TN&quot;]">
                LBSW - Licensed Bachelor Social Worker</option>
              <option value="75" data-match="LICSW" data-professionid="4" data-allowed-jurisdictions="[&quot;AL&quot;,&quot;WA&quot;,&quot;MN&quot;,&quot;MA&quot;,&quot;DC&quot;,&quot;RI&quot;,&quot;ND&quot;]">LICSW - Licensed Independent Clinical
                Social Worker</option>
              <option value="289" data-match="LCSWA" data-professionid="4" data-allowed-jurisdictions="[&quot;NC&quot;]">LCSWA - Licensed Clinical Social Worker Associate</option>
              <option value="29" data-match="LMSW" data-professionid="4"
                data-allowed-jurisdictions="[&quot;AL&quot;,&quot;CT&quot;,&quot;MI&quot;,&quot;AR&quot;,&quot;AZ&quot;,&quot;NV&quot;,&quot;SC&quot;,&quot;MD&quot;,&quot;KS&quot;,&quot;ND&quot;,&quot;MT&quot;,&quot;ID&quot;,&quot;MN&quot;,&quot;DE&quot;,&quot;MS&quot;,&quot;NM&quot;,&quot;NY&quot;,&quot;OR&quot;,&quot;TX&quot;,&quot;IA&quot;,&quot;LA&quot;,&quot;US&quot;,&quot;TN&quot;,&quot;MO&quot;,&quot;OK&quot;]">
                LMSW - Licensed Master Social Worker</option>
              <option value="212" data-match="LMSWI" data-professionid="4" data-allowed-jurisdictions="[&quot;ID&quot;,&quot;CA&quot;]">LMSWI - Licensed Independent Master Social Worker</option>
              <option value="232" data-match="LSCSW" data-professionid="4" data-allowed-jurisdictions="[&quot;KS&quot;]">LSCSW - Licensed Specialist Clinical Social Worker</option>
              <option value="76" data-match="LSWA" data-professionid="4" data-allowed-jurisdictions="[&quot;KS&quot;,&quot;OH&quot;,&quot;NV&quot;,&quot;MA&quot;,&quot;DC&quot;,&quot;OK&quot;]">LSWA - Licensed Social Worker Associate</option>
            </optgroup>
            <optgroup label="Counselor/Therapist" data-professionid="16">
              <option value="162" data-match="AT" data-professionid="16" data-allowed-jurisdictions="[&quot;FM&quot;]">AT - Art Therapist</option>
              <option value="234" data-match="CMHC" data-professionid="16" data-allowed-jurisdictions="[&quot;NH&quot;]">CMHC - Clinical Mental Health Counselor</option>
              <option value="304" data-match="CRSW" data-professionid="16" data-allowed-jurisdictions="[&quot;NH&quot;]">CRSW - Certified Recovery Support Worker</option>
              <option value="150" data-match="IMHP" data-professionid="16" data-allowed-jurisdictions="[&quot;NE&quot;]">IMHP - Independent Mental Health Practitioner</option>
              <option value="307" data-match="LCPT" data-professionid="16" data-allowed-jurisdictions="[&quot;TN&quot;]">LCPT - Licensed Clinical Pastoral Therapist</option>
              <option value="305" data-match="LCS" data-professionid="16" data-allowed-jurisdictions="[&quot;NH&quot;]">LCS - Licensed Clinical Supervisor</option>
              <option value="163" data-match="LMHA" data-professionid="16" data-allowed-jurisdictions="[&quot;WA&quot;,&quot;IN&quot;]">LMHA - Licensed Mental Health Counselor Associate</option>
              <option value="128" data-match="LPCI" data-professionid="16" data-allowed-jurisdictions="[&quot;FM&quot;]">LPCI - Licensed Professional Counselor Intern</option>
              <option value="19" data-match="MFC" data-professionid="16" data-allowed-jurisdictions="[&quot;FM&quot;]">MFC - Marriage and Family Counselor</option>
              <option value="83" data-match="MFTI" data-professionid="16" data-allowed-jurisdictions="[&quot;FM&quot;]">MFTI - Marriage and Family Therapist Intern</option>
              <option value="82" data-match="MHCI" data-professionid="16" data-allowed-jurisdictions="[&quot;FM&quot;]">MHCI - Mental Health Counselor Intern</option>
              <option value="142" data-match="MHP" data-professionid="16" data-allowed-jurisdictions="[&quot;NE&quot;,&quot;VA&quot;]">MHP - Mental Health Practitioner</option>
              <option value="312" data-match="MLDAC" data-professionid="16" data-allowed-jurisdictions="[&quot;NH&quot;]">MLDAC - Master Licensed Drug and Alcohol Counselor</option>
              <option value="159" data-match="MTBC" data-professionid="16" data-allowed-jurisdictions="[&quot;FM&quot;]">MTBC - Music Therapist-Board Certified</option>
              <option value="130" data-match="NCC" data-professionid="16" data-allowed-jurisdictions="[&quot;FM&quot;,&quot;US&quot;]">NCC - National Certified Counselor</option>
              <option value="141" data-match="PAC" data-professionid="16" data-allowed-jurisdictions="[&quot;ME&quot;]">PAC - Pastoral Counselor</option>
              <option value="160" data-match="PC" data-professionid="16"
                data-allowed-jurisdictions="[&quot;PA&quot;,&quot;GU&quot;,&quot;AS&quot;,&quot;MH&quot;,&quot;MP&quot;,&quot;XX&quot;,&quot;PW&quot;,&quot;PR&quot;,&quot;VI&quot;,&quot;GA&quot;]">PC - Professional Counselor</option>
              <option value="301" data-match="PPT" data-professionid="16" data-allowed-jurisdictions="[&quot;NH&quot;]">PPT - Pastoral Psychotherapist</option>
              <option value="129" data-match="RC" data-professionid="16" data-allowed-jurisdictions="[&quot;ME&quot;,&quot;NJ&quot;,&quot;MA&quot;]">RC - Registered Counselor</option>
              <option value="101" data-match="TPCT" data-professionid="16" data-allowed-jurisdictions="[&quot;ME&quot;]">TPCT - Temporary Counselor/Therapist Permit</option>
              <option value="64" data-match="AP" data-professionid="16"
                data-allowed-jurisdictions="[&quot;WV&quot;,&quot;WY&quot;,&quot;UT&quot;,&quot;DC&quot;,&quot;IN&quot;,&quot;LA&quot;,&quot;AL&quot;,&quot;CO&quot;,&quot;MA&quot;,&quot;RI&quot;,&quot;CA&quot;,&quot;FL&quot;,&quot;KY&quot;,&quot;XX&quot;,&quot;US&quot;]">
                AP - Addiction Professional</option>
              <option value="179" data-match="CDP" data-professionid="16" data-allowed-jurisdictions="[&quot;FM&quot;,&quot;AK&quot;,&quot;WA&quot;]">CDP - Chemical Dependency Professional</option>
              <option value="211" data-match="LADC" data-professionid="16" data-allowed-jurisdictions="[&quot;FM&quot;,&quot;MN&quot;,&quot;CT&quot;,&quot;ME&quot;,&quot;NE&quot;,&quot;NH&quot;,&quot;NM&quot;,&quot;NV&quot;,&quot;OK&quot;]">LADC -
                Licensed Alcohol and Drug Counselor</option>
              <option value="140" data-match="CPC" data-professionid="16" data-allowed-jurisdictions="[&quot;NV&quot;,&quot;AR&quot;,&quot;NE&quot;,&quot;WA&quot;]">CPC - Certified Professional Counselor</option>
              <option value="58" data-match="CADC" data-professionid="16"
                data-allowed-jurisdictions="[&quot;CT&quot;,&quot;MD&quot;,&quot;AR&quot;,&quot;DC&quot;,&quot;NJ&quot;,&quot;SD&quot;,&quot;AZ&quot;,&quot;IA&quot;,&quot;IL&quot;,&quot;ME&quot;,&quot;MO&quot;,&quot;MS&quot;,&quot;RI&quot;,&quot;TX&quot;,&quot;VT&quot;,&quot;WV&quot;,&quot;CA&quot;,&quot;FL&quot;,&quot;GA&quot;,&quot;ID&quot;,&quot;NV&quot;,&quot;PA&quot;,&quot;XX&quot;,&quot;MI&quot;,&quot;OR&quot;]">
                CADC - Certified Alcohol/Drug Counselor</option>
              <option value="145" data-match="LCADC" data-professionid="16" data-allowed-jurisdictions="[&quot;AR&quot;,&quot;ND&quot;,&quot;NJ&quot;,&quot;NC&quot;,&quot;MD&quot;]">LCADC - Licensed Clinical Alcohol and Drug Counselor</option>
              <option value="71" data-match="SAC" data-professionid="16" data-allowed-jurisdictions="[&quot;AK&quot;,&quot;VA&quot;,&quot;HI&quot;,&quot;NM&quot;,&quot;RI&quot;,&quot;WI&quot;,&quot;NY&quot;,&quot;TN&quot;]">SAC - Substance Abuse
                Counselor</option>
              <option value="143" data-match="AC" data-professionid="16" data-allowed-jurisdictions="[&quot;CA&quot;,&quot;SC&quot;,&quot;GA&quot;,&quot;MD&quot;,&quot;AR&quot;,&quot;NJ&quot;,&quot;DE&quot;]">AC - Associate Counselor</option>
              <option value="148" data-match="LISAC" data-professionid="16" data-allowed-jurisdictions="[&quot;AZ&quot;]">LISAC - Licensed Independent Substance Abuse Counselor</option>
              <option value="74" data-match="MFTA" data-professionid="16" data-allowed-jurisdictions="[&quot;CA&quot;,&quot;WA&quot;,&quot;GA&quot;,&quot;IN&quot;,&quot;TX&quot;,&quot;AL&quot;,&quot;NM&quot;,&quot;XX&quot;,&quot;KY&quot;]">MFTA -
                Marriage and Family Therapist Associate</option>
              <option value="146" data-match="LMHC" data-professionid="16" data-allowed-jurisdictions="[&quot;FL&quot;,&quot;AR&quot;,&quot;NY&quot;,&quot;NM&quot;,&quot;MA&quot;]">LMHC - Licensed Mental Health Counselor</option>
              <option value="178" data-match="LPCA" data-professionid="16" data-allowed-jurisdictions="[&quot;AR&quot;,&quot;AL&quot;]">LPCA - Licensed Professional Counselor Associate</option>
              <option value="161" data-match="LSAT" data-professionid="16" data-allowed-jurisdictions="[&quot;AZ&quot;]">LSAT - Licensed Substance Abuse Technician</option>
              <option value="18" data-match="MFT" data-professionid="16"
                data-allowed-jurisdictions="[&quot;UT&quot;,&quot;WA&quot;,&quot;WI&quot;,&quot;GA&quot;,&quot;KY&quot;,&quot;NV&quot;,&quot;OK&quot;,&quot;PA&quot;,&quot;MI&quot;,&quot;AK&quot;,&quot;AR&quot;,&quot;HI&quot;,&quot;IA&quot;,&quot;IN&quot;,&quot;ME&quot;,&quot;MO&quot;,&quot;NE&quot;,&quot;NH&quot;,&quot;NJ&quot;,&quot;RI&quot;,&quot;AL&quot;,&quot;IL&quot;,&quot;CT&quot;,&quot;DC&quot;,&quot;VT&quot;,&quot;XX&quot;,&quot;US&quot;,&quot;OH&quot;,&quot;MS&quot;]">
                MFT - Marriage and Family Therapist</option>
              <option value="219" data-match="CAC" data-professionid="16" data-allowed-jurisdictions="[&quot;IN&quot;]">CAC - Clinical Addiction Counselor</option>
              <option value="50" data-match="MHC" data-professionid="16" data-allowed-jurisdictions="[&quot;WA&quot;,&quot;WY&quot;,&quot;UT&quot;,&quot;AR&quot;,&quot;HI&quot;,&quot;IA&quot;,&quot;IN&quot;,&quot;RI&quot;,&quot;VT&quot;]">MHC -
                Mental Health Counselor</option>
              <option value="220" data-match="CACA" data-professionid="16" data-allowed-jurisdictions="[&quot;IN&quot;]">CACA - Clinical Addiction Counselor Associate</option>
              <option value="259" data-match="IMFT" data-professionid="16" data-allowed-jurisdictions="[&quot;OH&quot;]">IMFT - Independent Marriage and Family Therapist</option>
              <option value="65" data-match="LEP" data-professionid="16" data-allowed-jurisdictions="[&quot;CA&quot;,&quot;SC&quot;,&quot;MA&quot;]">LEP - Licensed Educational Psychologist</option>
              <option value="260" data-match="IMFTS" data-professionid="16" data-allowed-jurisdictions="[&quot;OH&quot;]">IMFTS - Independent Marriage and Family Therapist Supervisor</option>
              <option value="177" data-match="LCPC" data-professionid="16" data-allowed-jurisdictions="[&quot;TN&quot;,&quot;IL&quot;,&quot;MT&quot;,&quot;KS&quot;,&quot;ID&quot;,&quot;MD&quot;]">LCPC - Licensed Clinical Professional Counselor
              </option>
              <option value="20" data-match="LPC" data-professionid="16"
                data-allowed-jurisdictions="[&quot;MI&quot;,&quot;SD&quot;,&quot;WI&quot;,&quot;WY&quot;,&quot;GA&quot;,&quot;ID&quot;,&quot;KY&quot;,&quot;MD&quot;,&quot;WV&quot;,&quot;OK&quot;,&quot;OR&quot;,&quot;SC&quot;,&quot;OH&quot;,&quot;AK&quot;,&quot;AR&quot;,&quot;AZ&quot;,&quot;CO&quot;,&quot;DC&quot;,&quot;IL&quot;,&quot;KS&quot;,&quot;LA&quot;,&quot;MO&quot;,&quot;MS&quot;,&quot;ND&quot;,&quot;NJ&quot;,&quot;TX&quot;,&quot;CT&quot;,&quot;NM&quot;,&quot;AL&quot;,&quot;MN&quot;,&quot;VA&quot;,&quot;XX&quot;]">
                LPC - Licensed Professional Counselor</option>
              <option value="127" data-match="LPCS" data-professionid="16" data-allowed-jurisdictions="[&quot;OH&quot;,&quot;AR&quot;,&quot;MS&quot;,&quot;NC&quot;,&quot;SC&quot;]">LPCS - Licensed Professional Counselor Supervisor</option>
              <option value="224" data-match="LAMFT" data-professionid="16" data-allowed-jurisdictions="[&quot;MN&quot;,&quot;AZ&quot;,&quot;ND&quot;,&quot;AR&quot;]">LAMFT - Licensed Associate Marriage and Family Therapist</option>
              <option value="223" data-match="LAC" data-professionid="16" data-allowed-jurisdictions="[&quot;AZ&quot;]">LAC - Licensed Associate Counselor</option>
              <option value="225" data-match="LASAC" data-professionid="16" data-allowed-jurisdictions="[&quot;AZ&quot;]">LASAC - Licensed Associate Substance Abuse Counselor</option>
              <option value="72" data-match="LPCC" data-professionid="16"
                data-allowed-jurisdictions="[&quot;CA&quot;,&quot;ID&quot;,&quot;KY&quot;,&quot;MD&quot;,&quot;CO&quot;,&quot;ME&quot;,&quot;ND&quot;,&quot;NM&quot;,&quot;XX&quot;,&quot;OH&quot;]">LPCC - Licensed Professional Clinical Counselor
              </option>
              <option value="222" data-match="LPCCS" data-professionid="16" data-allowed-jurisdictions="[&quot;OH&quot;]">LPCCS - Licensed Professional Clinical Counselor Supervisor</option>
              <option value="186" data-match="LCDC" data-professionid="16" data-allowed-jurisdictions="[&quot;TX&quot;,&quot;DE&quot;,&quot;OH&quot;]">LCDC - Licensed Chemical Dependency Counselor</option>
              <option value="221" data-match="LCMFT" data-professionid="16" data-allowed-jurisdictions="[&quot;KS&quot;]">LCMFT - Licensed Clinical Marriage and Family Therapist</option>
              <option value="136" data-match="LMFT" data-professionid="16"
                data-allowed-jurisdictions="[&quot;WV&quot;,&quot;LA&quot;,&quot;MN&quot;,&quot;WY&quot;,&quot;CA&quot;,&quot;DE&quot;,&quot;FL&quot;,&quot;ID&quot;,&quot;MD&quot;,&quot;NY&quot;,&quot;TN&quot;,&quot;OR&quot;,&quot;SC&quot;,&quot;TX&quot;,&quot;AZ&quot;,&quot;MT&quot;,&quot;NC&quot;,&quot;KS&quot;,&quot;SD&quot;,&quot;VA&quot;,&quot;CO&quot;,&quot;NM&quot;,&quot;MA&quot;,&quot;ND&quot;,&quot;XX&quot;]">
                LMFT - Licensed Marriage and Family Therapist</option>
              <option value="208" data-match="LCMHC" data-professionid="16" data-allowed-jurisdictions="[&quot;NC&quot;]">LCMHC - Licensed Clinical Mental Health Counselor</option>
              <option value="213" data-match="LPCMH" data-professionid="16" data-allowed-jurisdictions="[&quot;SD&quot;,&quot;DE&quot;]">LPCMH - Licensed Professional Counselor Mental Health</option>
              <option value="210" data-match="LCMHCS" data-professionid="16" data-allowed-jurisdictions="[&quot;NC&quot;]">LCMHCS - Licensed Clinical Mental Health Counselor Supervisor</option>
              <option value="263" data-match="LCAC" data-professionid="16" data-allowed-jurisdictions="[&quot;KS&quot;]">LCAC - Licensed Clinical Addiction Counselor</option>
              <option value="264" data-match="LMAC" data-professionid="16" data-allowed-jurisdictions="[&quot;KS&quot;]">LMAC - Licensed Master Addiction Counselor</option>
              <option value="270" data-match="LMFS" data-professionid="16" data-allowed-jurisdictions="[&quot;XX&quot;]">LMFS - Licensed Marriage and Family Therapist Supervisor</option>
              <option value="236" data-match="MFTS" data-professionid="16" data-allowed-jurisdictions="[&quot;SC&quot;]">MFTS - Marriage and Family Therapy Supervisor</option>
              <option value="246" data-match="MHA" data-professionid="16" data-allowed-jurisdictions="[&quot;IN&quot;]">MHA - Mental Health Associate</option>
              <option value="235" data-match="LACS" data-professionid="16" data-allowed-jurisdictions="[&quot;SC&quot;]">LACS - Licensed Addiction Counselor Supervisor</option>
              <option value="226" data-match="LAC" data-professionid="16" data-allowed-jurisdictions="[&quot;SC&quot;,&quot;MT&quot;,&quot;CO&quot;,&quot;KS&quot;]">LAC - Licensed Addiction Counselor</option>
              <option value="271" data-match="LACA" data-professionid="16" data-allowed-jurisdictions="[&quot;SC&quot;]">LACA - Licensed Addiction Counselor Associate</option>
              <option value="209" data-match="LCMHCA" data-professionid="16" data-allowed-jurisdictions="[&quot;NC&quot;]">LCMHCA - Licensed Clinical Mental Health Counselor Associate</option>
              <option value="266" data-match="LRC" data-professionid="16" data-allowed-jurisdictions="[&quot;NJ&quot;]">LRC - Licensed Rehabilitation Counselor</option>
            </optgroup>
            <optgroup label="Psychologist" data-professionid="5">
              <option value="52" data-match="PSYL" data-professionid="5" data-allowed-jurisdictions="[&quot;ND&quot;]">PSYL - Licensed Psychologist</option>
              <option value="302" data-match="PSYSD" data-professionid="5" data-allowed-jurisdictions="[&quot;NH&quot;]">PSYSD - School Psychologist Doctoral</option>
              <option value="273" data-match="PSYSS" data-professionid="5" data-allowed-jurisdictions="[&quot;WY&quot;,&quot;NH&quot;]">PSYSS - School Psychologist Specialist</option>
              <option value="310" data-match="PSYX" data-professionid="5" data-allowed-jurisdictions="[&quot;TN&quot;]">PSYX - Psychological Examiner</option>
              <option value="311" data-match="PSYXS" data-professionid="5" data-allowed-jurisdictions="[&quot;TN&quot;]">PSYXS - Senior Psychological Examiner</option>
              <option value="23" data-match="PSY" data-professionid="5" data-hidden-jurisdictions="[&quot;ND&quot;]">PSY - Psychologist</option>
              <option value="89" data-match="PSYM" data-professionid="5">PSYM - Master of Psychology</option>
              <option value="217" data-match="MPSY" data-professionid="5" data-allowed-jurisdictions="[&quot;LA&quot;]">MPSY - Medical Psychologist</option>
              <option value="95" data-match="TPPS" data-professionid="5">TPPS - Temporary Psychologist Permit</option>
              <option value="272" data-match="PSYP" data-professionid="5" data-allowed-jurisdictions="[&quot;WY&quot;]">PSYP - Psychological Practitioner</option>
            </optgroup>
            <optgroup label="Certified Case Manager" data-professionid="7">
              <option value="26" data-match="CCM" data-professionid="7">CCM - Certified Case Manager</option>
            </optgroup>
            <optgroup label="Certified Diabetes Educator" data-professionid="25">
              <option value="62" data-match="CDE" data-professionid="25">CDE - Certified Diabetes Educator</option>
            </optgroup>
            <optgroup label="Nursing Assistant" data-professionid="17">
              <option value="4" data-match="CNA" data-professionid="17">CNA - Certified Nurse Assistant</option>
              <option value="137" data-match="TPCNA" data-professionid="17">TPCNA - Temporary Certified Nurse Assistant</option>
            </optgroup>
            <optgroup label="Certified Surgical Assistant" data-professionid="24">
              <option value="155" data-match="CSA" data-professionid="24">CSA - Certified Surgical Assistant</option>
            </optgroup>
            <optgroup label="CST/CSFA" data-professionid="6">
              <option value="25" data-match="CSFA" data-professionid="6">CSFA - Certified Surgical First Assistant</option>
              <option value="24" data-match="CST" data-professionid="6">CST - Certified Surgical Technician</option>
              <option value="96" data-match="TPCST" data-professionid="6">TPCST - Temporary CST Permit</option>
            </optgroup>
            <optgroup label="Dental Assistant" data-professionid="23">
              <option value="36" data-match="CDA" data-professionid="23" data-allowed-jurisdictions="[&quot;US&quot;]">CDA - Certified Dental Assistant</option>
              <option value="185" data-match="DSA" data-professionid="23" data-allowed-jurisdictions="[&quot;CA&quot;]">DSA - Dental Sedation Assistant</option>
              <option value="252" data-match="LDA" data-professionid="23" data-allowed-jurisdictions="[&quot;MN&quot;]">LDA - Licensed Dental Assistant</option>
              <option value="184" data-match="OA" data-professionid="23" data-allowed-jurisdictions="[&quot;CA&quot;]">OA - Orthodontic Assistant</option>
              <option value="15" data-match="RDA" data-professionid="23" data-allowed-jurisdictions="[&quot;CA&quot;,&quot;PA&quot;,&quot;MA&quot;,&quot;MI&quot;]">RDA - Registered Dental Assistant</option>
              <option value="167" data-match="RDAEF" data-professionid="23" data-allowed-jurisdictions="[&quot;CA&quot;,&quot;PA&quot;]">RDAEF - Registered Dental Assistant Extended Function</option>
              <option value="251" data-match="DA" data-professionid="23" data-hidden-jurisdictions="[&quot;CA&quot;,&quot;MA&quot;,&quot;SC&quot;,&quot;PA&quot;,&quot;MI&quot;,&quot;MN&quot;]">DA - Dental Assistant</option>
              <option value="253" data-match="DT" data-professionid="23" data-allowed-jurisdictions="[&quot;SC&quot;,&quot;SC&quot;]">DT - Dental Technician</option>
              <option value="293" data-match="OT" data-professionid="23" data-allowed-jurisdictions="[&quot;SC&quot;]">OT - Orthodontic Technician</option>
              <option value="315" data-match="TPDA" data-professionid="23">TPDA - Temporary Dental Assistant Permit</option>
              <option value="292" data-match="DRAD" data-professionid="23" data-allowed-jurisdictions="[&quot;OH&quot;]">DRAD - Dental Radiographer</option>
            </optgroup>
            <optgroup label="Dental Hygienist" data-professionid="22">
              <option value="325" data-match="DHSL" data-professionid="22" data-allowed-jurisdictions="[&quot;WY&quot;]">DHSL - Dental Hygienist Soft Tissue Laser Permit</option>
              <option value="14" data-match="RDH" data-professionid="22" data-allowed-jurisdictions="[&quot;OK&quot;,&quot;CA&quot;,&quot;PA&quot;,&quot;MI&quot;]">RDH - Registered Dental Hygienist</option>
              <option value="168" data-match="RDHEF" data-professionid="22" data-allowed-jurisdictions="[&quot;CA&quot;]">RDHEF - Registered Dental Hygienist Extended Function</option>
              <option value="322" data-match="DHF" data-professionid="22" data-allowed-jurisdictions="[&quot;TX&quot;]">DHF - Dental Hygienist Faculty</option>
              <option value="323" data-match="DHLA" data-professionid="22" data-allowed-jurisdictions="[&quot;WY&quot;]">DHLA - Dental Hygienist Local Anesthesia Permit</option>
              <option value="324" data-match="DHNO" data-professionid="22" data-allowed-jurisdictions="[&quot;WY&quot;]">DHNO - Dental Hygienist Nitrous Oxide Permit</option>
              <option value="207" data-match="RDHAP" data-professionid="22" data-allowed-jurisdictions="[&quot;CA&quot;]">RDHAP - Registered Dental Hygienist Alternative Practice</option>
              <option value="294" data-match="DHV" data-professionid="22" data-allowed-jurisdictions="[&quot;SC&quot;]">DHV - Dental Hygienist Volunteer</option>
              <option value="154" data-match="DH" data-professionid="22" data-allowed-jurisdictions="[&quot;SC&quot;]" data-hidden-jurisdictions="[&quot;CA&quot;,&quot;PA&quot;,&quot;MI&quot;,&quot;OK&quot;]">DH - Dental Hygienist</option>
              <option value="295" data-match="DHI" data-professionid="22" data-allowed-jurisdictions="[&quot;SC&quot;]">DHI - Dental Hygienist Instructor</option>
              <option value="314" data-match="TPDH" data-professionid="22">TPDH - Temporary Dental Hygienist Permit</option>
            </optgroup>
            <optgroup label="Dentist" data-professionid="3">
              <option value="313" data-match="DDSVC" data-professionid="3" data-allowed-jurisdictions="[&quot;OH&quot;]">DDSVC - Dentist Volunteer Certificate</option>
              <option value="35" data-match="DENLL" data-professionid="3" data-allowed-jurisdictions="[&quot;US&quot;]">DENLL - Dentist Limited License</option>
              <option value="31" data-match="DEN" data-professionid="3">DEN - Dentist</option>
              <option value="320" data-match="DENF" data-professionid="3" data-allowed-jurisdictions="[&quot;CA&quot;,&quot;DE&quot;,&quot;IL&quot;,&quot;ME&quot;,&quot;OR&quot;,&quot;TX&quot;]">DENF - Dentist Faculty</option>
              <option value="296" data-match="DENV" data-professionid="3" data-allowed-jurisdictions="[&quot;SC&quot;]">DENV - Dentist Volunteer</option>
              <option value="297" data-match="DENG" data-professionid="3" data-allowed-jurisdictions="[&quot;SC&quot;]">DENG - General Dentist</option>
              <option value="298" data-match="DENI" data-professionid="3" data-allowed-jurisdictions="[&quot;SC&quot;]">DENI - Dentist Instructor</option>
              <option value="299" data-match="DENS" data-professionid="3" data-allowed-jurisdictions="[&quot;SC&quot;]">DENS - Dentist Specialty</option>
              <option value="300" data-match="DENIS" data-professionid="3" data-allowed-jurisdictions="[&quot;SC&quot;]">DENIS - Dentist Instructor Specialist</option>
              <option value="241" data-match="COSD" data-professionid="3" data-allowed-jurisdictions="[&quot;CA&quot;]">COSD - Dental Conscious Sedation Permit</option>
              <option value="239" data-match="DGA" data-professionid="3" data-allowed-jurisdictions="[&quot;CA&quot;]">DGA - Dental General Anesthesia Permit</option>
              <option value="317" data-match="ECSD" data-professionid="3" data-allowed-jurisdictions="[&quot;GA&quot;,&quot;WV&quot;]">ECSD - Enteral Conscious Sedation Permit</option>
              <option value="318" data-match="EFCS" data-professionid="3" data-allowed-jurisdictions="[&quot;CA&quot;]">EFCS - Elective Facial Cosmetic Surgery</option>
              <option value="240" data-match="MGA" data-professionid="3" data-allowed-jurisdictions="[&quot;CA&quot;]">MGA - Medical General Anesthesia Permit</option>
              <option value="256" data-match="MOSD" data-professionid="3" data-allowed-jurisdictions="[&quot;CA&quot;]">MOSD - Dental Moderate Sedation Permit</option>
              <option value="242" data-match="OCSD" data-professionid="3" data-allowed-jurisdictions="[&quot;CA&quot;]">OCSD - Oral Conscious Sedation Permit</option>
              <option value="243" data-match="OMS" data-professionid="3" data-allowed-jurisdictions="[&quot;CA&quot;]">OMS - Oral Maxillofacial Surgery Permit</option>
              <option value="316" data-match="PMSD" data-professionid="3" data-allowed-jurisdictions="[&quot;CA&quot;]">PMSD - Pediatric Minimal Sedation Permit</option>
              <option value="319" data-match="MNSD" data-professionid="3" data-allowed-jurisdictions="[&quot;WV&quot;]">MNSD - Dental Minimal Sedation Permit</option>
              <option value="321" data-match="DNTH" data-professionid="3" data-allowed-jurisdictions="[&quot;DE&quot;]">DNTH - Dentist Telehealth Registration</option>
              <option value="93" data-match="TPDN" data-professionid="3" data-hidden-jurisdictions="[&quot;FL&quot;,&quot;SC&quot;,&quot;OK&quot;]">TPDN - Temporary Dentist Permit</option>
            </optgroup>
            <optgroup label="Nursing Home Administrator" data-professionid="9">
              <option value="28" data-match="NHA" data-professionid="9">NHA - Nursing Home Administrator</option>
              <option value="98" data-match="TPNHA" data-professionid="9">TPNHA - Temporary Nursing Home Administrator</option>
            </optgroup>
            <optgroup label="Respiratory Therapist" data-professionid="13">
              <option value="33" data-match="RT" data-professionid="13">RT - Respiratory Therapist</option>
            </optgroup>
            <optgroup label="Research Professional" data-professionid="14">
              <option value="38" data-match="CCRA" data-professionid="14">CCRA - Certified Clinical Research Associate</option>
              <option value="37" data-match="CCRC" data-professionid="14">CCRC - Certified Clinical Research Coordinator</option>
              <option value="39" data-match="CCRI" data-professionid="14">CCRI - Certified Clinical Research Investigator</option>
            </optgroup>
            <optgroup label="Other/IACET" data-professionid="20">
              <option value="34" data-match="OTH" data-professionid="20">OTH - Other IACET qualification</option>
            </optgroup>
            <optgroup label="Medical Assistant" data-professionid="15">
              <option value="41" data-match="CMA" data-professionid="15">CMA - Certified Medical Assistant</option>
              <option value="40" data-match="MA" data-professionid="15">MA - Medical Assistant</option>
            </optgroup>
          </select>
        </div>
      </div>
    </div>
    <div class="row-fluid">
      <div class="span12">
        <div class="control-group">
          <label class="hidden" for="license_num">License Number</label>
          <div class="controls">
            <input type="text" id="license_num" placeholder="License Number" class="input-block-level required" name="license" maxlength="30" tabindex="19" data-field-type="license" data-connected-fields="license" required="required" value=""
              disabled="disabled">
          </div>
        </div>
      </div>
    </div>
    <div class="row-fluid">
      <div class="span8">
        <!-- Add the .error class to .control-group if the input is invald -->
        <div class="control-group phone-wrapper">
          <label for="phone" class="hidden"> Phone: <span class="err_ast">*</span>
          </label>
          <div class="controls prepend_icon">
            <!-- <input id="id_phone" placeholder="Phone Number" name="phonenumber" type="tel" tabindex="25" class=""/> -->
            <i id="phoneinfo" class="icon-phone-sign"><!--  --></i>
            <input type="tel" id="id_phone" placeholder="Phone Number" class="input-block-level" name="phones_phonenumber_d" tabindex="20" data-purpose="dayphone" data-field-type="phones_phonenumber_d" required="required" value="">
            <input type="hidden" value="0" name="phones_fax_d">
          </div>
          <div class="custom-tooltip custom-tooltip-phone">
            <i id="phoneinfo" class="custom-tooltip-handler icon-phone-sign" tabindex="21"><!--  --></i>
            <div class="custom-tooltip-content hide">
              <p>Please enter US phone numbers including area code.</p>
              <p>Ex: 916-333-2233</p>
              <p>Please enter non-US phone numbers starting with +. Please separate country code and area/city code from local number using spaces or dashes.</p>
              <p>Ex: +55 656 2233222.</p>
              <span class="custom-tooltip-content-close"></span>
            </div>
          </div>
        </div>
      </div>
      <div class="span4">
        <div class="control-group">
          <label class="hidden" for="phone_ext">Ext</label>
          <div class="controls">
            <input type="text" id="id_ext" placeholder="Ext" class="input-block-level" autocomplete="nofill" name="phones_extension_d" tabindex="22" data-purpose="dayphone-extension" data-field-type="phones_extension_d" value="">
          </div>
        </div>
      </div>
    </div>
    <div class="row-fluid">
      <!-- Email -->
      <div class="span12">
        <div class="control-group">
          <label class="hidden" for="email_address">Email</label>
          <div class="controls prepend_icon">
            <input type="email" id="email_address" placeholder="Email Address" class="input-block-level nopaste" tabindex="23" name="username" autocomplete="username" data-field-type="username" data-connected-fields="email" required="required"
              value="">
            <i class="icon-envelope"><!--  --></i>
          </div>
        </div>
      </div>
    </div>
    <div class="row-fluid">
      <!-- Email -->
      <div class="span12">
        <div class="control-group">
          <label class="hidden" for="email_address2">Retype Email</label>
          <div class="controls prepend_icon">
            <input type="email" id="email_address2" placeholder="Retype Email Address" class="input-block-level nopaste" tabindex="24" name="username2" autocomplete="username" data-field-type="usernameRetype" data-connected-fields="email"
              required="required" value="" disabled="disabled">
            <i class="icon-envelope"><!--  --></i>
          </div>
        </div>
      </div>
    </div>
    <div class="row-fluid">
      <!-- Password -->
      <div class="span12 bump-down">
        <div class="control-group">
          <label class="hidden" for="password">Select Password</label>
          <div class="controls prepend_icon">
            <input type="password" id="password" placeholder="Select Password" class="input-block-level" tabindex="25" name="password" autocomplete="new-password" data-field-type="password" required="required" value="">
            <i class="icon-lock"><!--  --></i>
          </div>
        </div>
      </div>
    </div>
  </fieldset>
  <button name="submit-info" value="1" type="submit" class="btn btn-green btn-block btn-req" tabindex="26" data-loading-text="Request Special Offer Booklet <i class='icon-spinner icon-spin'></i>">Request Special Offer Booklet</button>
</form>

Text Content

This website stores cookies, which are used to learn how you interact with our
website and allow us to remember you. We use this information to improve and
customize your browsing experience. For more information, please review our
Privacy Policy. If you are a California resident, please review our Privacy
Notice for California Residents. Learn more
Accept
 * FAQs

 * Continuing Education
   * Nurse
      * Alabama
      * Alaska
      * American Samoa
      * Arizona
      * Arkansas
      * Bahamas
      * California
      * Colorado
      * Connecticut
      * Delaware
      * District of Columbia
      * Florida
      * Georgia
      * Guam
      * Hawaii
      * Idaho
      * Illinois
      * Indiana
      * Iowa
      * Kansas
      * Kentucky
      * Louisiana
      * Maine
      * Marshall Islands
      * Maryland
      * Massachusetts
      * Michigan
      * Micronesia
      * Minnesota
      * Mississippi
      * Missouri
      * Montana
      * Nebraska
      * Nevada
      * New Hampshire
      * New Jersey
      * New Mexico
      * New York
      * Non-US
      * North Carolina
      * North Dakota
      * Northern Marianas
      * Ohio
      * Oklahoma
      * Oregon
      * Palau
      * Pennsylvania
      * Puerto Rico
      * Rhode Island
      * South Carolina
      * South Dakota
      * Tennessee
      * Texas
      * US Nationally-Certified
      * Utah
      * Vermont
      * Virginia
      * Virgin Islands
      * Washington
      * West Virginia
      * Wisconsin
      * Wyoming
   
   * Advanced Practice Nurse
      * Alabama
      * Alaska
      * American Samoa
      * Arizona
      * Arkansas
      * Bahamas
      * California
      * Colorado
      * Connecticut
      * Delaware
      * District of Columbia
      * Florida
      * Georgia
      * Guam
      * Hawaii
      * Idaho
      * Illinois
      * Indiana
      * Iowa
      * Kansas
      * Kentucky
      * Louisiana
      * Maine
      * Marshall Islands
      * Maryland
      * Massachusetts
      * Michigan
      * Micronesia
      * Minnesota
      * Mississippi
      * Missouri
      * Montana
      * Nebraska
      * Nevada
      * New Hampshire
      * New Jersey
      * New Mexico
      * New York
      * Non-US
      * North Carolina
      * North Dakota
      * Northern Marianas
      * Ohio
      * Oklahoma
      * Oregon
      * Palau
      * Pennsylvania
      * Puerto Rico
      * Rhode Island
      * South Carolina
      * South Dakota
      * Tennessee
      * Texas
      * US Nationally-Certified
      * Utah
      * Vermont
      * Virginia
      * Virgin Islands
      * Washington
      * West Virginia
      * Wisconsin
      * Wyoming
   
   * Physician
      * Alabama
      * Alaska
      * American Samoa
      * Arizona
      * Arkansas
      * Bahamas
      * California
      * Colorado
      * Connecticut
      * Delaware
      * District of Columbia
      * Florida
      * Georgia
      * Guam
      * Hawaii
      * Idaho
      * Illinois
      * Indiana
      * Iowa
      * Kansas
      * Kentucky
      * Louisiana
      * Maine
      * Marshall Islands
      * Maryland
      * Massachusetts
      * Michigan
      * Micronesia
      * Minnesota
      * Mississippi
      * Missouri
      * Montana
      * Nebraska
      * Nevada
      * New Hampshire
      * New Jersey
      * New Mexico
      * New York
      * Non-US
      * North Carolina
      * North Dakota
      * Northern Marianas
      * Ohio
      * Oklahoma
      * Oregon
      * Palau
      * Pennsylvania
      * Puerto Rico
      * Rhode Island
      * South Carolina
      * South Dakota
      * Tennessee
      * Texas
      * US Nationally-Certified
      * Utah
      * Vermont
      * Virginia
      * Virgin Islands
      * Washington
      * West Virginia
      * Wisconsin
      * Wyoming
   
   * Physician Assistant
      * Alabama
      * Alaska
      * American Samoa
      * Arizona
      * Arkansas
      * Bahamas
      * California
      * Colorado
      * Connecticut
      * Delaware
      * District of Columbia
      * Florida
      * Georgia
      * Guam
      * Hawaii
      * Idaho
      * Illinois
      * Indiana
      * Iowa
      * Kansas
      * Kentucky
      * Louisiana
      * Maine
      * Marshall Islands
      * Maryland
      * Massachusetts
      * Michigan
      * Micronesia
      * Minnesota
      * Mississippi
      * Missouri
      * Montana
      * Nebraska
      * Nevada
      * New Hampshire
      * New Jersey
      * New Mexico
      * New York
      * Non-US
      * North Carolina
      * North Dakota
      * Northern Marianas
      * Ohio
      * Oklahoma
      * Oregon
      * Palau
      * Pennsylvania
      * Puerto Rico
      * Rhode Island
      * South Carolina
      * South Dakota
      * Tennessee
      * Texas
      * US Nationally-Certified
      * Utah
      * Vermont
      * Virginia
      * Virgin Islands
      * Washington
      * West Virginia
      * Wisconsin
      * Wyoming
   
   * Pharmacist
      * Alabama
      * Alaska
      * American Samoa
      * Arizona
      * Arkansas
      * Bahamas
      * California
      * Colorado
      * Connecticut
      * Delaware
      * District of Columbia
      * Florida
      * Georgia
      * Guam
      * Hawaii
      * Idaho
      * Illinois
      * Indiana
      * Iowa
      * Kansas
      * Kentucky
      * Louisiana
      * Maine
      * Marshall Islands
      * Maryland
      * Massachusetts
      * Michigan
      * Micronesia
      * Minnesota
      * Mississippi
      * Missouri
      * Montana
      * Nebraska
      * Nevada
      * New Hampshire
      * New Jersey
      * New Mexico
      * New York
      * Non-US
      * North Carolina
      * North Dakota
      * Northern Marianas
      * Ohio
      * Oklahoma
      * Oregon
      * Palau
      * Pennsylvania
      * Puerto Rico
      * Rhode Island
      * South Carolina
      * South Dakota
      * Tennessee
      * Texas
      * US Nationally-Certified
      * Utah
      * Vermont
      * Virginia
      * Virgin Islands
      * Washington
      * West Virginia
      * Wisconsin
      * Wyoming
   
   * Pharmacy Technician
      * Alabama
      * Alaska
      * American Samoa
      * Arizona
      * Arkansas
      * Bahamas
      * California
      * Colorado
      * Connecticut
      * Delaware
      * District of Columbia
      * Florida
      * Georgia
      * Guam
      * Hawaii
      * Idaho
      * Illinois
      * Indiana
      * Iowa
      * Kansas
      * Kentucky
      * Louisiana
      * Maine
      * Marshall Islands
      * Maryland
      * Massachusetts
      * Michigan
      * Micronesia
      * Minnesota
      * Mississippi
      * Missouri
      * Montana
      * Nebraska
      * Nevada
      * New Hampshire
      * New Jersey
      * New Mexico
      * New York
      * Non-US
      * North Carolina
      * North Dakota
      * Northern Marianas
      * Ohio
      * Oklahoma
      * Oregon
      * Palau
      * Pennsylvania
      * Puerto Rico
      * Rhode Island
      * South Carolina
      * South Dakota
      * Tennessee
      * Texas
      * US Nationally-Certified
      * Utah
      * Vermont
      * Virginia
      * Virgin Islands
      * Washington
      * West Virginia
      * Wisconsin
      * Wyoming
   
   * Social Worker
      * Alabama
      * Alaska
      * American Samoa
      * Arizona
      * Arkansas
      * Bahamas
      * California
      * Colorado
      * Connecticut
      * Delaware
      * District of Columbia
      * Florida
      * Georgia
      * Guam
      * Hawaii
      * Idaho
      * Illinois
      * Indiana
      * Iowa
      * Kansas
      * Kentucky
      * Louisiana
      * Maine
      * Marshall Islands
      * Maryland
      * Massachusetts
      * Michigan
      * Micronesia
      * Minnesota
      * Mississippi
      * Missouri
      * Montana
      * Nebraska
      * Nevada
      * New Hampshire
      * New Jersey
      * New Mexico
      * New York
      * Non-US
      * North Carolina
      * North Dakota
      * Northern Marianas
      * Ohio
      * Oklahoma
      * Oregon
      * Palau
      * Pennsylvania
      * Puerto Rico
      * Rhode Island
      * South Carolina
      * South Dakota
      * Tennessee
      * Texas
      * US Nationally-Certified
      * Utah
      * Vermont
      * Virginia
      * Virgin Islands
      * Washington
      * West Virginia
      * Wisconsin
      * Wyoming
   
   * Counselor/Therapist
      * Alabama
      * Alaska
      * American Samoa
      * Arizona
      * Arkansas
      * Bahamas
      * California
      * Colorado
      * Connecticut
      * Delaware
      * District of Columbia
      * Florida
      * Georgia
      * Guam
      * Hawaii
      * Idaho
      * Illinois
      * Indiana
      * Iowa
      * Kansas
      * Kentucky
      * Louisiana
      * Maine
      * Marshall Islands
      * Maryland
      * Massachusetts
      * Michigan
      * Micronesia
      * Minnesota
      * Mississippi
      * Missouri
      * Montana
      * Nebraska
      * Nevada
      * New Hampshire
      * New Jersey
      * New Mexico
      * New York
      * Non-US
      * North Carolina
      * North Dakota
      * Northern Marianas
      * Ohio
      * Oklahoma
      * Oregon
      * Palau
      * Pennsylvania
      * Puerto Rico
      * Rhode Island
      * South Carolina
      * South Dakota
      * Tennessee
      * Texas
      * US Nationally-Certified
      * Utah
      * Vermont
      * Virginia
      * Virgin Islands
      * Washington
      * West Virginia
      * Wisconsin
      * Wyoming
   
   * Psychologist
      * Alabama
      * Alaska
      * American Samoa
      * Arizona
      * Arkansas
      * Bahamas
      * California
      * Colorado
      * Connecticut
      * Delaware
      * District of Columbia
      * Florida
      * Georgia
      * Guam
      * Hawaii
      * Idaho
      * Illinois
      * Indiana
      * Iowa
      * Kansas
      * Kentucky
      * Louisiana
      * Maine
      * Marshall Islands
      * Maryland
      * Massachusetts
      * Michigan
      * Micronesia
      * Minnesota
      * Mississippi
      * Missouri
      * Montana
      * Nebraska
      * Nevada
      * New Hampshire
      * New Jersey
      * New Mexico
      * New York
      * Non-US
      * North Carolina
      * North Dakota
      * Northern Marianas
      * Ohio
      * Oklahoma
      * Oregon
      * Palau
      * Pennsylvania
      * Puerto Rico
      * Rhode Island
      * South Carolina
      * South Dakota
      * Tennessee
      * Texas
      * US Nationally-Certified
      * Utah
      * Vermont
      * Virginia
      * Virgin Islands
      * Washington
      * West Virginia
      * Wisconsin
      * Wyoming
   
   * Certified Case Manager
      * Alabama
      * Alaska
      * American Samoa
      * Arizona
      * Arkansas
      * Bahamas
      * California
      * Colorado
      * Connecticut
      * Delaware
      * District of Columbia
      * Florida
      * Georgia
      * Guam
      * Hawaii
      * Idaho
      * Illinois
      * Indiana
      * Iowa
      * Kansas
      * Kentucky
      * Louisiana
      * Maine
      * Marshall Islands
      * Maryland
      * Massachusetts
      * Michigan
      * Micronesia
      * Minnesota
      * Mississippi
      * Missouri
      * Montana
      * Nebraska
      * Nevada
      * New Hampshire
      * New Jersey
      * New Mexico
      * New York
      * Non-US
      * North Carolina
      * North Dakota
      * Northern Marianas
      * Ohio
      * Oklahoma
      * Oregon
      * Palau
      * Pennsylvania
      * Puerto Rico
      * Rhode Island
      * South Carolina
      * South Dakota
      * Tennessee
      * Texas
      * US Nationally-Certified
      * Utah
      * Vermont
      * Virginia
      * Virgin Islands
      * Washington
      * West Virginia
      * Wisconsin
      * Wyoming
   
   * Certified Diabetes Educator
      * Alabama
      * Alaska
      * American Samoa
      * Arizona
      * Arkansas
      * Bahamas
      * California
      * Colorado
      * Connecticut
      * Delaware
      * District of Columbia
      * Florida
      * Georgia
      * Guam
      * Hawaii
      * Idaho
      * Illinois
      * Indiana
      * Iowa
      * Kansas
      * Kentucky
      * Louisiana
      * Maine
      * Marshall Islands
      * Maryland
      * Massachusetts
      * Michigan
      * Micronesia
      * Minnesota
      * Mississippi
      * Missouri
      * Montana
      * Nebraska
      * Nevada
      * New Hampshire
      * New Jersey
      * New Mexico
      * New York
      * Non-US
      * North Carolina
      * North Dakota
      * Northern Marianas
      * Ohio
      * Oklahoma
      * Oregon
      * Palau
      * Pennsylvania
      * Puerto Rico
      * Rhode Island
      * South Carolina
      * South Dakota
      * Tennessee
      * Texas
      * US Nationally-Certified
      * Utah
      * Vermont
      * Virginia
      * Virgin Islands
      * Washington
      * West Virginia
      * Wisconsin
      * Wyoming
   
   * Nursing Assistant
      * Alabama
      * Alaska
      * American Samoa
      * Arizona
      * Arkansas
      * Bahamas
      * California
      * Colorado
      * Connecticut
      * Delaware
      * District of Columbia
      * Florida
      * Georgia
      * Guam
      * Hawaii
      * Idaho
      * Illinois
      * Indiana
      * Iowa
      * Kansas
      * Kentucky
      * Louisiana
      * Maine
      * Marshall Islands
      * Maryland
      * Massachusetts
      * Michigan
      * Micronesia
      * Minnesota
      * Mississippi
      * Missouri
      * Montana
      * Nebraska
      * Nevada
      * New Hampshire
      * New Jersey
      * New Mexico
      * New York
      * Non-US
      * North Carolina
      * North Dakota
      * Northern Marianas
      * Ohio
      * Oklahoma
      * Oregon
      * Palau
      * Pennsylvania
      * Puerto Rico
      * Rhode Island
      * South Carolina
      * South Dakota
      * Tennessee
      * Texas
      * US Nationally-Certified
      * Utah
      * Vermont
      * Virginia
      * Virgin Islands
      * Washington
      * West Virginia
      * Wisconsin
      * Wyoming
   
   * Certified Surgical Assistant
      * Alabama
      * Alaska
      * American Samoa
      * Arizona
      * Arkansas
      * Bahamas
      * California
      * Colorado
      * Connecticut
      * Delaware
      * District of Columbia
      * Florida
      * Georgia
      * Guam
      * Hawaii
      * Idaho
      * Illinois
      * Indiana
      * Iowa
      * Kansas
      * Kentucky
      * Louisiana
      * Maine
      * Marshall Islands
      * Maryland
      * Massachusetts
      * Michigan
      * Micronesia
      * Minnesota
      * Mississippi
      * Missouri
      * Montana
      * Nebraska
      * Nevada
      * New Hampshire
      * New Jersey
      * New Mexico
      * New York
      * Non-US
      * North Carolina
      * North Dakota
      * Northern Marianas
      * Ohio
      * Oklahoma
      * Oregon
      * Palau
      * Pennsylvania
      * Puerto Rico
      * Rhode Island
      * South Carolina
      * South Dakota
      * Tennessee
      * Texas
      * US Nationally-Certified
      * Utah
      * Vermont
      * Virginia
      * Virgin Islands
      * Washington
      * West Virginia
      * Wisconsin
      * Wyoming
   
   * CST/CSFA
      * Alabama
      * Alaska
      * American Samoa
      * Arizona
      * Arkansas
      * Bahamas
      * California
      * Colorado
      * Connecticut
      * Delaware
      * District of Columbia
      * Florida
      * Georgia
      * Guam
      * Hawaii
      * Idaho
      * Illinois
      * Indiana
      * Iowa
      * Kansas
      * Kentucky
      * Louisiana
      * Maine
      * Marshall Islands
      * Maryland
      * Massachusetts
      * Michigan
      * Micronesia
      * Minnesota
      * Mississippi
      * Missouri
      * Montana
      * Nebraska
      * Nevada
      * New Hampshire
      * New Jersey
      * New Mexico
      * New York
      * Non-US
      * North Carolina
      * North Dakota
      * Northern Marianas
      * Ohio
      * Oklahoma
      * Oregon
      * Palau
      * Pennsylvania
      * Puerto Rico
      * Rhode Island
      * South Carolina
      * South Dakota
      * Tennessee
      * Texas
      * US Nationally-Certified
      * Utah
      * Vermont
      * Virginia
      * Virgin Islands
      * Washington
      * West Virginia
      * Wisconsin
      * Wyoming
   
   * Dental Assistant
      * Alabama
      * Alaska
      * American Samoa
      * Arizona
      * Arkansas
      * Bahamas
      * California
      * Colorado
      * Connecticut
      * Delaware
      * District of Columbia
      * Florida
      * Georgia
      * Guam
      * Hawaii
      * Idaho
      * Illinois
      * Indiana
      * Iowa
      * Kansas
      * Kentucky
      * Louisiana
      * Maine
      * Marshall Islands
      * Maryland
      * Massachusetts
      * Michigan
      * Micronesia
      * Minnesota
      * Mississippi
      * Missouri
      * Montana
      * Nebraska
      * Nevada
      * New Hampshire
      * New Jersey
      * New Mexico
      * New York
      * Non-US
      * North Carolina
      * North Dakota
      * Northern Marianas
      * Ohio
      * Oklahoma
      * Oregon
      * Palau
      * Pennsylvania
      * Puerto Rico
      * Rhode Island
      * South Carolina
      * South Dakota
      * Tennessee
      * Texas
      * US Nationally-Certified
      * Utah
      * Vermont
      * Virginia
      * Virgin Islands
      * Washington
      * West Virginia
      * Wisconsin
      * Wyoming
   
   * Dental Hygienist
      * Alabama
      * Alaska
      * American Samoa
      * Arizona
      * Arkansas
      * Bahamas
      * California
      * Colorado
      * Connecticut
      * Delaware
      * District of Columbia
      * Florida
      * Georgia
      * Guam
      * Hawaii
      * Idaho
      * Illinois
      * Indiana
      * Iowa
      * Kansas
      * Kentucky
      * Louisiana
      * Maine
      * Marshall Islands
      * Maryland
      * Massachusetts
      * Michigan
      * Micronesia
      * Minnesota
      * Mississippi
      * Missouri
      * Montana
      * Nebraska
      * Nevada
      * New Hampshire
      * New Jersey
      * New Mexico
      * New York
      * Non-US
      * North Carolina
      * North Dakota
      * Northern Marianas
      * Ohio
      * Oklahoma
      * Oregon
      * Palau
      * Pennsylvania
      * Puerto Rico
      * Rhode Island
      * South Carolina
      * South Dakota
      * Tennessee
      * Texas
      * US Nationally-Certified
      * Utah
      * Vermont
      * Virginia
      * Virgin Islands
      * Washington
      * West Virginia
      * Wisconsin
      * Wyoming
   
   * Dentist
      * Alabama
      * Alaska
      * American Samoa
      * Arizona
      * Arkansas
      * Bahamas
      * California
      * Colorado
      * Connecticut
      * Delaware
      * District of Columbia
      * Florida
      * Georgia
      * Guam
      * Hawaii
      * Idaho
      * Illinois
      * Indiana
      * Iowa
      * Kansas
      * Kentucky
      * Louisiana
      * Maine
      * Marshall Islands
      * Maryland
      * Massachusetts
      * Michigan
      * Micronesia
      * Minnesota
      * Mississippi
      * Missouri
      * Montana
      * Nebraska
      * Nevada
      * New Hampshire
      * New Jersey
      * New Mexico
      * New York
      * Non-US
      * North Carolina
      * North Dakota
      * Northern Marianas
      * Ohio
      * Oklahoma
      * Oregon
      * Palau
      * Pennsylvania
      * Puerto Rico
      * Rhode Island
      * South Carolina
      * South Dakota
      * Tennessee
      * Texas
      * US Nationally-Certified
      * Utah
      * Vermont
      * Virginia
      * Virgin Islands
      * Washington
      * West Virginia
      * Wisconsin
      * Wyoming
   
   * Nursing Home Administrator
      * Alabama
      * Alaska
      * American Samoa
      * Arizona
      * Arkansas
      * Bahamas
      * California
      * Colorado
      * Connecticut
      * Delaware
      * District of Columbia
      * Florida
      * Georgia
      * Guam
      * Hawaii
      * Idaho
      * Illinois
      * Indiana
      * Iowa
      * Kansas
      * Kentucky
      * Louisiana
      * Maine
      * Marshall Islands
      * Maryland
      * Massachusetts
      * Michigan
      * Micronesia
      * Minnesota
      * Mississippi
      * Missouri
      * Montana
      * Nebraska
      * Nevada
      * New Hampshire
      * New Jersey
      * New Mexico
      * New York
      * Non-US
      * North Carolina
      * North Dakota
      * Northern Marianas
      * Ohio
      * Oklahoma
      * Oregon
      * Palau
      * Pennsylvania
      * Puerto Rico
      * Rhode Island
      * South Carolina
      * South Dakota
      * Tennessee
      * Texas
      * US Nationally-Certified
      * Utah
      * Vermont
      * Virginia
      * Virgin Islands
      * Washington
      * West Virginia
      * Wisconsin
      * Wyoming
   
   * Other/IACET
      * Alabama
      * Alaska
      * American Samoa
      * Arizona
      * Arkansas
      * Bahamas
      * California
      * Colorado
      * Connecticut
      * Delaware
      * District of Columbia
      * Florida
      * Georgia
      * Guam
      * Hawaii
      * Idaho
      * Illinois
      * Indiana
      * Iowa
      * Kansas
      * Kentucky
      * Louisiana
      * Maine
      * Marshall Islands
      * Maryland
      * Massachusetts
      * Michigan
      * Micronesia
      * Minnesota
      * Mississippi
      * Missouri
      * Montana
      * Nebraska
      * Nevada
      * New Hampshire
      * New Jersey
      * New Mexico
      * New York
      * Non-US
      * North Carolina
      * North Dakota
      * Northern Marianas
      * Ohio
      * Oklahoma
      * Oregon
      * Palau
      * Pennsylvania
      * Puerto Rico
      * Rhode Island
      * South Carolina
      * South Dakota
      * Tennessee
      * Texas
      * US Nationally-Certified
      * Utah
      * Vermont
      * Virginia
      * Virgin Islands
      * Washington
      * West Virginia
      * Wisconsin
      * Wyoming
 * Group Purchases
 * FAQs
 * Accreditations
 * Special Offers
 * Courses
 * Sign in

Important Information About NetCE's Response to COVID-19


 * CONTINUING EDUCATION ONLINE


 * LEARN. CLICK. DONE.


 * NATIONALLY ACCREDITED CME / CEU / CE


 * PERSONALIZED LEARNING SOLUTIONS


 * SUBJECT-MATTER EXPERT FACULTY


 * EVIDENCE-BASED CONTENT


 * 1000+ HOURS OF CREDIT


 * PATIENT-CENTERED TOPICS

I Have My Booklet
Find Continuing Education
Request a Booklet


BROWSE FOR YOUR CONTINUING EDUCATION

Search by: Special Offer Course List

Select Your State or Jurisdiction

AlabamaAlaskaAmerican
SamoaArizonaArkansasBahamasCaliforniaColoradoConnecticutDelawareDistrict of
ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall
IslandsMarylandMassachusettsMichiganMicronesiaMinnesotaMississippiMissouriMontanaNebraskaNevadaNew
HampshireNew JerseyNew MexicoNew YorkNon-USNorth CarolinaNorth DakotaNorthern
MarianasOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth
CarolinaSouth DakotaTennesseeTexasUS
Nationally-CertifiedUtahVermontVirginiaVirgin IslandsWashingtonWest
VirginiaWisconsinWyoming

Select Your Profession or Title

NurseAdvanced Practice NursePhysicianPhysician AssistantPharmacistPharmacy
TechnicianSocial WorkerCounselor/TherapistPsychologistCertified Case
ManagerCertified Diabetes EducatorNursing AssistantCertified Surgical
AssistantCST/CSFADental AssistantDental HygienistDentistNursing Home
AdministratorOther/IACET Select By Title

Select Your Professional Title

Go back to profession list APRN - Advanced Practice Registered NurseCAPT -
California Psychiatric TechnicianFLSLP - Florida Speech/Language PathologistLPN
- Licensed Practical NurseLPNV - Licensed Practical Nurse VolunteerRNV -
Registered Nurse VolunteerRN - Registered NurseLVN - Licensed Vocational
NurseCHT - Certified Hemodialysis TechnicianCLP - Clinical Laboratory
PersonnelCCT - Certified Cardiographic TechnicianLMHT - Licensed Mental Health
TechnicianTPN - Temporary Nurse PermitPHN - Public Health NursePMH - Psychiatric
Mental Health NurseARNP - Advanced Registered Nurse PractitionerCRNP - Certified
Registered Nurse PractitionerDTR - Dietetic Technician, RegisteredFLAP - Florida
AcupuncturistFNP - Family Nurse PractitionerND - Nutritionist, Dietician,
Nutrition CounselorRD - Registered DieticianSA - Surgical AssistantAPRN -
Advanced Practice Registered NurseCNP - Certified Nurse PractitionerNP - Nurse
PractitionerCNS - Clinical Nurse SpecialistCRNA - Certified Registered Nurse
AnesthetistCNM - Certified Nurse MidwifeCCRN - Critical Care Registered NurseNA
- Nurse AnesthetistNMW - Nurse MidwifeRNC - Certified Registered NurseCNOR -
Certified Nurse in the Operating RoomNM - Nurse MidwifeACL - Assistant Cosmetic
Laser PractitionerSCL - Senior Cosmetic Laser PractitionerAPN - Advanced
Practice NurseCPM - Certified Professional MidwifeCM - Certified MidwifeLM -
Licensed MidwifeDCNP - Dermatology Certified Nurse PractitionerRCP - Respiratory
Care PractitionerRXA - Prescribing AuthorityTPNP - Temporary Nurse Practitioner
PermitDOCL - Osteopathic Doctor Compact LicenseDPM - Doctor of Podiatric
MedicineFP - Family PhysicianMD - Medical DoctorMDCL - Medical Doctor Compact
LicenseTPDO - Temporary Osteopathic Physician PermitMP - Medical PractitionerDO
- Osteopathic DoctorSMP - Specialty Medical PractitionerDC - Doctor of
ChiropracticDNM - Doctor of Naturopathic MedicineMDL - Medical Doctor Limited
LicenseDOL - Osteopathic Doctor Limited LicenseMDV - Medical Doctor VolunteerDOV
- Osteopathic Doctor VolunteerMDF - Medical Doctor FacultyDOF - Osteopathic
Doctor FacultyTPMD - Temporary Physician PermitOPA - Osteopathic Physician
AssistantPA - Physician AssistantTPPA - Temporary Physician Assistant PermitAA -
Anesthesiologist AssistantMP - Medical PhysicistADV - Administration of Drugs
and Vaccines ApprovalCA - Contraceptive Administration ApprovalCPA -
Collaborative Practice ApprovalDTMP - Drug Therapy Modification Protocol
ApprovalIA - Immunization Administration ApprovalPIC - Pharmacist in ChargePH -
PharmacistRPH - Registered PharmacistAPH - Advanced Practice PharmacistCPH -
Consultant PharmacistPHV - Pharmacist Special VolunteerCPP - Clinical Pharmacist
PractitionerNPH - Nuclear PharmacistTPPH - Temporary PharmacistCPHT - Certified
Pharmacy TechnicianPHA - Pharmacy AssistantRPHT - Registered Pharmacy
TechnicianPHT - Pharmacy TechnicianNPHT - Nuclear Pharmacy TechnicianTPPHT -
Temporary Pharmacy TechnicianPHTV - Pharmacy Technician Special VolunteerBSW -
Bachelor Social WorkerCMSW - Certified Master Social WorkerCSW - Certified
Social WorkerCSW - Clinical Social WorkerCSWA - Clinical Social Work
AssociateCSWI - Registered Clinical Social Work InternLCSW - Licensed Certified
Social WorkerLCSWC - Licensed Certified Social Worker ClinicalLGSW - Licensed
Graduate Social WorkerLISWCP - Licensed Independent Social Worker Clinical
PracticeLSW - Licensed Social WorkerLSWI - Licensed Social Worker IndependentMSW
- Master Social WorkerRSW - Registered Social WorkerSSW - School Social WorkerSW
- Social WorkerSWA - Social Work AssociateSWS - Social Worker SupervisorTPSW -
Temporary Social Worker PermitAPSW - Advanced Practice Social WorkerASW -
Associate Social WorkerLCSW - Licensed Clinical Social WorkerLISW - Licensed
Independent Social WorkerLAPSW - Licensed Advanced Practitioner Social
WorkerLISWD - Licensed Independent Social Worker Dual PracticeLBSW - Licensed
Bachelor Social WorkerLICSW - Licensed Independent Clinical Social WorkerLCSWA -
Licensed Clinical Social Worker AssociateLMSW - Licensed Master Social
WorkerLMSWI - Licensed Independent Master Social WorkerLSCSW - Licensed
Specialist Clinical Social WorkerLSWA - Licensed Social Worker AssociateAT - Art
TherapistCMHC - Clinical Mental Health CounselorCRSW - Certified Recovery
Support WorkerIMHP - Independent Mental Health PractitionerLCPT - Licensed
Clinical Pastoral TherapistLCS - Licensed Clinical SupervisorLMHA - Licensed
Mental Health Counselor AssociateLPCI - Licensed Professional Counselor
InternMFC - Marriage and Family CounselorMFTI - Marriage and Family Therapist
InternMHCI - Mental Health Counselor InternMHP - Mental Health PractitionerMLDAC
- Master Licensed Drug and Alcohol CounselorMTBC - Music Therapist-Board
CertifiedNCC - National Certified CounselorPAC - Pastoral CounselorPC -
Professional CounselorPPT - Pastoral PsychotherapistRC - Registered
CounselorTPCT - Temporary Counselor/Therapist PermitAP - Addiction
ProfessionalCDP - Chemical Dependency ProfessionalLADC - Licensed Alcohol and
Drug CounselorCPC - Certified Professional CounselorCADC - Certified
Alcohol/Drug CounselorLCADC - Licensed Clinical Alcohol and Drug CounselorSAC -
Substance Abuse CounselorAC - Associate CounselorLISAC - Licensed Independent
Substance Abuse CounselorMFTA - Marriage and Family Therapist AssociateLMHC -
Licensed Mental Health CounselorLPCA - Licensed Professional Counselor
AssociateLSAT - Licensed Substance Abuse TechnicianMFT - Marriage and Family
TherapistCAC - Clinical Addiction CounselorMHC - Mental Health CounselorCACA -
Clinical Addiction Counselor AssociateIMFT - Independent Marriage and Family
TherapistLEP - Licensed Educational PsychologistIMFTS - Independent Marriage and
Family Therapist SupervisorLCPC - Licensed Clinical Professional CounselorLPC -
Licensed Professional CounselorLPCS - Licensed Professional Counselor
SupervisorLAMFT - Licensed Associate Marriage and Family TherapistLAC - Licensed
Associate CounselorLASAC - Licensed Associate Substance Abuse CounselorLPCC -
Licensed Professional Clinical CounselorLPCCS - Licensed Professional Clinical
Counselor SupervisorLCDC - Licensed Chemical Dependency CounselorLCMFT -
Licensed Clinical Marriage and Family TherapistLMFT - Licensed Marriage and
Family TherapistLCMHC - Licensed Clinical Mental Health CounselorLPCMH -
Licensed Professional Counselor Mental HealthLCMHCS - Licensed Clinical Mental
Health Counselor SupervisorLCAC - Licensed Clinical Addiction CounselorLMAC -
Licensed Master Addiction CounselorLMFS - Licensed Marriage and Family Therapist
SupervisorMFTS - Marriage and Family Therapy SupervisorMHA - Mental Health
AssociateLACS - Licensed Addiction Counselor SupervisorLAC - Licensed Addiction
CounselorLACA - Licensed Addiction Counselor AssociateLCMHCA - Licensed Clinical
Mental Health Counselor AssociateLRC - Licensed Rehabilitation CounselorPSYL -
Licensed PsychologistPSYSD - School Psychologist DoctoralPSYSS - School
Psychologist SpecialistPSYX - Psychological ExaminerPSYXS - Senior Psychological
ExaminerPSY - PsychologistPSYM - Master of PsychologyMPSY - Medical
PsychologistTPPS - Temporary Psychologist PermitPSYP - Psychological
PractitionerCCM - Certified Case ManagerCDE - Certified Diabetes EducatorCNA -
Certified Nurse AssistantTPCNA - Temporary Certified Nurse AssistantCSA -
Certified Surgical AssistantCSFA - Certified Surgical First AssistantCST -
Certified Surgical TechnicianTPCST - Temporary CST PermitCDA - Certified Dental
AssistantDSA - Dental Sedation AssistantLDA - Licensed Dental AssistantOA -
Orthodontic AssistantRDA - Registered Dental AssistantRDAEF - Registered Dental
Assistant Extended FunctionDA - Dental AssistantDT - Dental TechnicianOT -
Orthodontic TechnicianTPDA - Temporary Dental Assistant PermitDRAD - Dental
RadiographerDHSL - Dental Hygienist Soft Tissue Laser PermitRDH - Registered
Dental HygienistRDHEF - Registered Dental Hygienist Extended FunctionDHF -
Dental Hygienist FacultyDHLA - Dental Hygienist Local Anesthesia PermitDHNO -
Dental Hygienist Nitrous Oxide PermitRDHAP - Registered Dental Hygienist
Alternative PracticeDHV - Dental Hygienist VolunteerDH - Dental HygienistDHI -
Dental Hygienist InstructorTPDH - Temporary Dental Hygienist PermitDDSVC -
Dentist Volunteer CertificateDENLL - Dentist Limited LicenseDEN - DentistDENF -
Dentist FacultyDENV - Dentist VolunteerDENG - General DentistDENI - Dentist
InstructorDENS - Dentist SpecialtyDENIS - Dentist Instructor SpecialistCOSD -
Dental Conscious Sedation PermitDGA - Dental General Anesthesia PermitECSD -
Enteral Conscious Sedation PermitEFCS - Elective Facial Cosmetic SurgeryMGA -
Medical General Anesthesia PermitMOSD - Dental Moderate Sedation PermitOCSD -
Oral Conscious Sedation PermitOMS - Oral Maxillofacial Surgery PermitPMSD -
Pediatric Minimal Sedation PermitMNSD - Dental Minimal Sedation PermitDNTH -
Dentist Telehealth RegistrationTPDN - Temporary Dentist PermitNHA - Nursing Home
AdministratorTPNHA - Temporary Nursing Home AdministratorRT - Respiratory
TherapistCCRA - Certified Clinical Research AssociateCCRC - Certified Clinical
Research CoordinatorCCRI - Certified Clinical Research InvestigatorOTH - Other
IACET qualificationCMA - Certified Medical AssistantMA - Medical Assistant
Start Now

The back of your booklet contains your Quick Code and Customer ID. Enter your
information here to get started!


Quick Code

Customer ID


Don't have a Quick Code?

Start Now



First Name

Middle Name


Last Name

Select Your State or Jurisdiction

AlabamaAlaskaAmerican
SamoaArizonaArkansasBahamasCaliforniaColoradoConnecticutDelawareDistrict of
ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall
IslandsMarylandMassachusettsMichiganMicronesiaMinnesotaMississippiMissouriMontanaNebraskaNevadaNew
HampshireNew JerseyNew MexicoNew YorkNon-USNorth CarolinaNorth DakotaNorthern
MarianasOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth
CarolinaSouth DakotaTennesseeTexasUS
Nationally-CertifiedUtahVermontVirginiaVirgin IslandsWashingtonWest
VirginiaWisconsinWyoming

Select Your Profession

NurseAdvanced Practice NursePhysicianPhysician AssistantPharmacistPharmacy
TechnicianSocial WorkerCounselor/TherapistPsychologistCertified Case
ManagerCertified Diabetes EducatorNursing AssistantCertified Surgical
AssistantCST/CSFADental AssistantDental HygienistDentistNursing Home
AdministratorOther/IACET
Select Your Professional Title

APRN - Advanced Practice Registered NurseCAPT - California Psychiatric
TechnicianFLSLP - Florida Speech/Language PathologistLPN - Licensed Practical
NurseLPNV - Licensed Practical Nurse VolunteerRNV - Registered Nurse VolunteerRN
- Registered NurseLVN - Licensed Vocational NurseCHT - Certified Hemodialysis
TechnicianCLP - Clinical Laboratory PersonnelCCT - Certified Cardiographic
TechnicianLMHT - Licensed Mental Health TechnicianTPN - Temporary Nurse
PermitPHN - Public Health NursePMH - Psychiatric Mental Health NurseARNP -
Advanced Registered Nurse PractitionerCRNP - Certified Registered Nurse
PractitionerDTR - Dietetic Technician, RegisteredFLAP - Florida AcupuncturistFNP
- Family Nurse PractitionerND - Nutritionist, Dietician, Nutrition CounselorRD -
Registered DieticianSA - Surgical AssistantAPRN - Advanced Practice Registered
NurseCNP - Certified Nurse PractitionerNP - Nurse PractitionerCNS - Clinical
Nurse SpecialistCRNA - Certified Registered Nurse AnesthetistCNM - Certified
Nurse MidwifeCCRN - Critical Care Registered NurseNA - Nurse AnesthetistNMW -
Nurse MidwifeRNC - Certified Registered NurseCNOR - Certified Nurse in the
Operating RoomNM - Nurse MidwifeACL - Assistant Cosmetic Laser PractitionerSCL -
Senior Cosmetic Laser PractitionerAPN - Advanced Practice NurseCPM - Certified
Professional MidwifeCM - Certified MidwifeLM - Licensed MidwifeDCNP -
Dermatology Certified Nurse PractitionerRCP - Respiratory Care PractitionerRXA -
Prescribing AuthorityTPNP - Temporary Nurse Practitioner PermitDOCL -
Osteopathic Doctor Compact LicenseDPM - Doctor of Podiatric MedicineFP - Family
PhysicianMD - Medical DoctorMDCL - Medical Doctor Compact LicenseTPDO -
Temporary Osteopathic Physician PermitMP - Medical PractitionerDO - Osteopathic
DoctorSMP - Specialty Medical PractitionerDC - Doctor of ChiropracticDNM -
Doctor of Naturopathic MedicineMDL - Medical Doctor Limited LicenseDOL -
Osteopathic Doctor Limited LicenseMDV - Medical Doctor VolunteerDOV -
Osteopathic Doctor VolunteerMDF - Medical Doctor FacultyDOF - Osteopathic Doctor
FacultyTPMD - Temporary Physician PermitOPA - Osteopathic Physician AssistantPA
- Physician AssistantTPPA - Temporary Physician Assistant PermitAA -
Anesthesiologist AssistantMP - Medical PhysicistADV - Administration of Drugs
and Vaccines ApprovalCA - Contraceptive Administration ApprovalCPA -
Collaborative Practice ApprovalDTMP - Drug Therapy Modification Protocol
ApprovalIA - Immunization Administration ApprovalPIC - Pharmacist in ChargePH -
PharmacistRPH - Registered PharmacistAPH - Advanced Practice PharmacistCPH -
Consultant PharmacistPHV - Pharmacist Special VolunteerCPP - Clinical Pharmacist
PractitionerNPH - Nuclear PharmacistTPPH - Temporary PharmacistCPHT - Certified
Pharmacy TechnicianPHA - Pharmacy AssistantRPHT - Registered Pharmacy
TechnicianPHT - Pharmacy TechnicianNPHT - Nuclear Pharmacy TechnicianTPPHT -
Temporary Pharmacy TechnicianPHTV - Pharmacy Technician Special VolunteerBSW -
Bachelor Social WorkerCMSW - Certified Master Social WorkerCSW - Certified
Social WorkerCSW - Clinical Social WorkerCSWA - Clinical Social Work
AssociateCSWI - Registered Clinical Social Work InternLCSW - Licensed Certified
Social WorkerLCSWC - Licensed Certified Social Worker ClinicalLGSW - Licensed
Graduate Social WorkerLISWCP - Licensed Independent Social Worker Clinical
PracticeLSW - Licensed Social WorkerLSWI - Licensed Social Worker IndependentMSW
- Master Social WorkerRSW - Registered Social WorkerSSW - School Social WorkerSW
- Social WorkerSWA - Social Work AssociateSWS - Social Worker SupervisorTPSW -
Temporary Social Worker PermitAPSW - Advanced Practice Social WorkerASW -
Associate Social WorkerLCSW - Licensed Clinical Social WorkerLISW - Licensed
Independent Social WorkerLAPSW - Licensed Advanced Practitioner Social
WorkerLISWD - Licensed Independent Social Worker Dual PracticeLBSW - Licensed
Bachelor Social WorkerLICSW - Licensed Independent Clinical Social WorkerLCSWA -
Licensed Clinical Social Worker AssociateLMSW - Licensed Master Social
WorkerLMSWI - Licensed Independent Master Social WorkerLSCSW - Licensed
Specialist Clinical Social WorkerLSWA - Licensed Social Worker AssociateAT - Art
TherapistCMHC - Clinical Mental Health CounselorCRSW - Certified Recovery
Support WorkerIMHP - Independent Mental Health PractitionerLCPT - Licensed
Clinical Pastoral TherapistLCS - Licensed Clinical SupervisorLMHA - Licensed
Mental Health Counselor AssociateLPCI - Licensed Professional Counselor
InternMFC - Marriage and Family CounselorMFTI - Marriage and Family Therapist
InternMHCI - Mental Health Counselor InternMHP - Mental Health PractitionerMLDAC
- Master Licensed Drug and Alcohol CounselorMTBC - Music Therapist-Board
CertifiedNCC - National Certified CounselorPAC - Pastoral CounselorPC -
Professional CounselorPPT - Pastoral PsychotherapistRC - Registered
CounselorTPCT - Temporary Counselor/Therapist PermitAP - Addiction
ProfessionalCDP - Chemical Dependency ProfessionalLADC - Licensed Alcohol and
Drug CounselorCPC - Certified Professional CounselorCADC - Certified
Alcohol/Drug CounselorLCADC - Licensed Clinical Alcohol and Drug CounselorSAC -
Substance Abuse CounselorAC - Associate CounselorLISAC - Licensed Independent
Substance Abuse CounselorMFTA - Marriage and Family Therapist AssociateLMHC -
Licensed Mental Health CounselorLPCA - Licensed Professional Counselor
AssociateLSAT - Licensed Substance Abuse TechnicianMFT - Marriage and Family
TherapistCAC - Clinical Addiction CounselorMHC - Mental Health CounselorCACA -
Clinical Addiction Counselor AssociateIMFT - Independent Marriage and Family
TherapistLEP - Licensed Educational PsychologistIMFTS - Independent Marriage and
Family Therapist SupervisorLCPC - Licensed Clinical Professional CounselorLPC -
Licensed Professional CounselorLPCS - Licensed Professional Counselor
SupervisorLAMFT - Licensed Associate Marriage and Family TherapistLAC - Licensed
Associate CounselorLASAC - Licensed Associate Substance Abuse CounselorLPCC -
Licensed Professional Clinical CounselorLPCCS - Licensed Professional Clinical
Counselor SupervisorLCDC - Licensed Chemical Dependency CounselorLCMFT -
Licensed Clinical Marriage and Family TherapistLMFT - Licensed Marriage and
Family TherapistLCMHC - Licensed Clinical Mental Health CounselorLPCMH -
Licensed Professional Counselor Mental HealthLCMHCS - Licensed Clinical Mental
Health Counselor SupervisorLCAC - Licensed Clinical Addiction CounselorLMAC -
Licensed Master Addiction CounselorLMFS - Licensed Marriage and Family Therapist
SupervisorMFTS - Marriage and Family Therapy SupervisorMHA - Mental Health
AssociateLACS - Licensed Addiction Counselor SupervisorLAC - Licensed Addiction
CounselorLACA - Licensed Addiction Counselor AssociateLCMHCA - Licensed Clinical
Mental Health Counselor AssociateLRC - Licensed Rehabilitation CounselorPSYL -
Licensed PsychologistPSYSD - School Psychologist DoctoralPSYSS - School
Psychologist SpecialistPSYX - Psychological ExaminerPSYXS - Senior Psychological
ExaminerPSY - PsychologistPSYM - Master of PsychologyMPSY - Medical
PsychologistTPPS - Temporary Psychologist PermitPSYP - Psychological
PractitionerCCM - Certified Case ManagerCDE - Certified Diabetes EducatorCNA -
Certified Nurse AssistantTPCNA - Temporary Certified Nurse AssistantCSA -
Certified Surgical AssistantCSFA - Certified Surgical First AssistantCST -
Certified Surgical TechnicianTPCST - Temporary CST PermitCDA - Certified Dental
AssistantDSA - Dental Sedation AssistantLDA - Licensed Dental AssistantOA -
Orthodontic AssistantRDA - Registered Dental AssistantRDAEF - Registered Dental
Assistant Extended FunctionDA - Dental AssistantDT - Dental TechnicianOT -
Orthodontic TechnicianTPDA - Temporary Dental Assistant PermitDRAD - Dental
RadiographerDHSL - Dental Hygienist Soft Tissue Laser PermitRDH - Registered
Dental HygienistRDHEF - Registered Dental Hygienist Extended FunctionDHF -
Dental Hygienist FacultyDHLA - Dental Hygienist Local Anesthesia PermitDHNO -
Dental Hygienist Nitrous Oxide PermitRDHAP - Registered Dental Hygienist
Alternative PracticeDHV - Dental Hygienist VolunteerDH - Dental HygienistDHI -
Dental Hygienist InstructorTPDH - Temporary Dental Hygienist PermitDDSVC -
Dentist Volunteer CertificateDENLL - Dentist Limited LicenseDEN - DentistDENF -
Dentist FacultyDENV - Dentist VolunteerDENG - General DentistDENI - Dentist
InstructorDENS - Dentist SpecialtyDENIS - Dentist Instructor SpecialistCOSD -
Dental Conscious Sedation PermitDGA - Dental General Anesthesia PermitECSD -
Enteral Conscious Sedation PermitEFCS - Elective Facial Cosmetic SurgeryMGA -
Medical General Anesthesia PermitMOSD - Dental Moderate Sedation PermitOCSD -
Oral Conscious Sedation PermitOMS - Oral Maxillofacial Surgery PermitPMSD -
Pediatric Minimal Sedation PermitMNSD - Dental Minimal Sedation PermitDNTH -
Dentist Telehealth RegistrationTPDN - Temporary Dentist PermitNHA - Nursing Home
AdministratorTPNHA - Temporary Nursing Home AdministratorRT - Respiratory
TherapistCCRA - Certified Clinical Research AssociateCCRC - Certified Clinical
Research CoordinatorCCRI - Certified Clinical Research InvestigatorOTH - Other
IACET qualificationCMA - Certified Medical AssistantMA - Medical Assistant
License Number

Phone: *


Please enter US phone numbers including area code.

Ex: 916-333-2233

Please enter non-US phone numbers starting with +. Please separate country code
and area/city code from local number using spaces or dashes.

Ex: +55 656 2233222.

Ext

Email

Retype Email

Select Password

Request Special Offer Booklet

By submitting this request, you are creating a NetCE account, and you agree to
the
Terms of Use and Privacy Policy.


Prices may be subject to change. To confirm special offer pricing, please view
the current online offer for the official price.
OK
×

NETCE'S RESPONSE TO COVID-19

NetCE is honored to be your trusted source for CE/CME/CEUs and we are committed
to supporting you and your selfless service to your patients.

We encourage you to take advantage of our FREE online, two-hour course The
Coronavirus Disease (COVID-19) Pandemic. This course will be updated as
necessary to make sure healthcare providers on the front lines have access to
the most relevant, updated, and evidence-based information.

EXTERNAL LINK

THIS LINK LEADS OUTSIDE OF THE NETCE SITE TO:



While we have selected sites that we believe offer good, reliable information,
we are not responsible for the content provided. Furthermore, these links do not
constitute an endorsement of these organizations or their programs by NetCE, and
none should be inferred.

Continue
Go Back


 * About NetCE
 * Help
 * Privacy
 * Do Not Sell My Personal Information

Copyright © 2024 NetCE · Contact Us

NETCE


 * Home
 * About NetCE
 * Accreditations & Approvals
 * NetCE Group Administrators
 * Contact
 * Request a Booklet
 * News and Resources

USAGE


 * Help
 * Privacy
 * Terms of Use
 * Permission to Reprint
 * Special Assistance
 * Do Not Sell My Personal Information


CONTACT


Contact Us
Fax: (916) 783-6067


PO Box 997571
Sacramento, CA 95899-7571


SOCIAL


Stay in touch

Copyright © 2024 NetCE All rights reserved.