ACIS / IBTHM Continuing Education Provider Application

Apply to become an Approved Continuing Education Provider with the Accreditation Commission for Integrative Sciences (ACIS) and the International Board of Trichology & Holistic Medicine (IBTHM).

Approved providers uphold the highest standards of integrity, accuracy, and professionalism in integrative and trichological education.

⚠️ Please Note: One application must be submitted per course.

If your organization offers multiple CE courses, each course requires its own application and review fee.

Section 1 – Organization Information

Organization / School / Business Name:

Type of Organization:

Primary Contact Name:

Title / Position:

Email

Phone

Website or Social Media Page:

Multi-line address

Country/Region

Address

City

Zip / Postal code

Years in Operation:

Section 2 – CE Course Information

Course Title:

Course Description:

Course Category:

Duration (in hours)

Delivery Method:

In-Person

Online (Live)

Online (Self-Paced)

Hybrid

Target Audience:

Learning Outcomes: (list 3–5 measurable learning outcomes)

Assessment Method:

Upload Course Outline or Syllabus:

Upload Instructor CV(s):

Section 3 – Instructor Qualifications

Lead Instructor Name:

Credentials / Degrees:

IBTHM or ACIS Certification Number (if applicable):

Years of Teaching or Clinical Experience:

Upload Additional Instructor List (if applicable):

Section 4 – Compliance and Ethics

Approved CE Providers must uphold the ethical and educational standards set forth by the Accreditation Commission for Integrative Sciences (ACIS) and the International Board of Trichology & Holistic Medicine (IBTHM).

All courses must deliver verifiable, evidence-based, integrative content designed to enhance practitioner competency, provide educational value, accuracy, and promote integrative approaches to health and wellness.

Checkboxes (required):

I confirm that all instructors and course content comply with ACIS/IBTHM ethical standards.

I understand that approval is valid for one (1) year and renewal requires submission of updated materials.

I agree to display the official “Approved CE Provider” badge only after written authorization is received.

I understand that CE credits cannot be advertised as ACIS/IBTHM-approved until approval is granted.

Section 5 – Upload & Documentation

Upload the following documents:

Course syllabus or outline

Instructor resume(s) or CV(s)

Sample Certificate of Completion

Proof of Business Registration (optional)

Marketing materials or flyers (optional)

Section 6 – Application Fee

A non-refundable $150 fee per course is due upon submittal of this application. This fee covers review and verification of materials by the Continuing Education Oversight Division. Once approved, you will receive a digital “Approved CE Provider” seal and Provider ID number valid for one (1) year.

Upon submitting this application, you will be redirected to the CE Provider Payment Page to complete your payment.

Your application will not be reviewed until payment has been received.

I understand that payment of the non-refundable review fee is required for my application to be processed.

Section 7 – Submission Agreement

By submitting this application, I affirm that all information provided is accurate and complete.

I understand that each CE course must be submitted separately for review and approval, and that any false statements or omissions may result in denial or revocation of CE Provider status. By checking this box, I agree to the terms and conditions above.

Continuing Education (CE) Provider Application

ACIS / IBTHM Continuing Education Provider Application