ICST Renewal

Submit the form below to renew your ICST credential

ICST Renewal Form

Email(Required)

Billing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Shipping Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

License Number (Or Affiliated Association if International Member)(Required)

Upload proof of professional mental health licensure for those practicing in the United States(Required)

Drop files here or

Max. file size: 7 MB.

Upload proof of membership to a mental health association and good standing in your country of practice and/or board(Required)

Drop files here or

Max. file size: 7 MB.

Upload documentation/proof of malpractice insurance(Required)

Drop files here or

Max. file size: 7 MB.

Upload certificates for 6-hours of IAST-approved CE training occurring in the past two years since previous credentialing documentation(Required)

Drop files here or

Max. file size: 7 MB.

Untitled(Required)

I attest that the information provided is true and accurate to the best of my knowledge. I understand that false information may result in the revocation of my credential.

Date(Required)