Continuing Education Records Request Form

Fields marked with a * are required

Please fill out shipping information if different from the billing address.

Records processing is $10 per program.  Each records request is considered a separate processing fee.

You will be redirected to payment through PayPayl after submitting your registration.

If you wish to make a credit card payment by phone, please call 512-374-9222 ex10 during business hours.

Processing of the Records Request Form(s) will not begin until paid in full. Processing and shipping takes between 7-10 business days.