Certified Brain Injury Specialist

and Specialist Trainer

         Renewal

       Application

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What is your current title?

All certificants must complete contact hours of educational activities related to the care of persons with brain injury every year, as follows:

  • a minimum of 6 hours for Certified Brain Injury Specialists
  • a minimum of 12 hours for Certified Brain Injury Specialist Trainers

Acceptable activities may include the following: attendance at in-service or conference presentations or workshops, academic coursework, journal article individual or group review, David Strauss Lectures or other phone/video/internet lectures, professional publications and/or presentations. Continuing education activities must include hours from at least two of the activities listed above. See www.AACBIS.net for a full explanation and listing of acceptable continuing education activities and corresponding continuing education credits.

Please list presentations or workshops you attended during this certification period. Include the formal title of the stated activity (i.e., presentation title) and sponsoring organization's name (i.e., BIAA), as well as the date and duration of the activity.

CEU Title Sponsoring Organization Date Duration (hrs)

Please list all self-study activities, such as journal articles, videos, and telephone seminars as well as college/university courses that relate to brain injury. Include the title of the article, video, seminar, and/or course; the instructor, author, or presenter, and the dates (where applicable).

CEU Title Author/Instructor/Presenter Date Duration (hrs)

Please list all professional publications and/or presentations you authored during this certification cycle. The subject matter of the publication/presentation must be related to brain injury. Include the full citation (title, full authorship, publication/conference, date, publisher, page numbers) and continuing education hours to be granted.

Citation Hours

Verification of Information Accuracy Statement

By submitting this renewal application, I hereby verify that the information provided herein is true and accurate to the best of my personal knowledge.

Ethics Statement

By submitting this renewal application, I agree to abide by the ethics policy posted on the ACBIS website.

Payment options:

If you choose "Pay online", you will be directed to the bookstore of the Brain Injury Association of America.

If you choose "Pay by check", you will be directed to a statement page which should be printed and submitted, along with your payment, to the ACBIS coordinator at the Brain Injury Association of America.

If you are an international applicant, please choose "pay by check" to generate your statement and call the Brain Injury Association of America at 703-761-0760, x620, for assistance with payment.

Brain Injury Association of America
1608 Spring Hill Road, Suite 110
Vienna, VA 22182
703-761-0750
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