Application for Re-Accreditation Of
Application for Re-Certification of
European Certified Hand Therapist (ECHT)
Submissions for recertification must be submitted via E-mail to the ECHT Coordinator by November 30 of the year that your ECHT qualification expires.
Name: …………………………… ….Date of Birth: ……………………….
Country of membership: ……………………..
National Membership number and qualification date……………..
Recertification date......
OT / Physio: ………………………… / Address: …………………………….
………………………………………….
………………………………………….
………………………………………….
Postcode: ……………………………
Tel No: ……………………………….
E-mail: ……………………………….
Date and Number of last ECHT certification: / Date of Application:
Included with Application (Please tick):
o Payment of 50 Euros to cover administration fees, payable to the EFSHT
o Verification of 2000 hours clinical practice since last certification (provide written statement detailing experience and number of hours in work settings)
o Attached ‘Contribution to Profession / Professional Accomplishments’ self assessment table. Your must score a minimum of 30 points with achievements gained in the 7 years since ECHT certification.. Points must be achieved in at least 2 of the 5 categories.
Permission please tick below if you agree:
o My name and country may be listed on the EFSHT website as a Therapist with the ECHT qualification
I hereby apply for re-accreditation as an European Certified Hand Therapist . I verify that this is a true and accurate representation of my clinical status and I am aware that this could be audited for further evidence by EFSHT.
Signed: ………………………………… Date: ……………………………..
European Re- Certified Hand Therapist Contribution to Profession / Professional Accomplishments list
Please list your professional accomplishments and contributions to the field of Hand Therapy gained during the last 7 years since certification. Please refer to the point allocation document for contributions to the profession, when completing this table, please add additional lines under the categories if you need space.
Reminder Candidates must obtain a minimum of 30 points, in at least two of the five categories, to qualify for the ECHT recertification.
Please note: Final evaluation of the application and evidence rests with the assessors. Assessors may perform an audit and request evidence from the candidate to support the points claimed.
Please include the type of activity using the following category abbreviations
· Continuing Education CE
· Instructional Activity IA
· Research Activity RA
· Publications P
· Organizational Activity OA
Description of Activity / Points claimedDate / Activity
category / Description of activity
1.1.2015 / IA / EXAMPLE: Taught a 1 day workshop, titled “Splinting for the PIP joint”, 30 participants, course was taught in Sample City , Country / 3
Total amount points achieved on self assessment
ECHT Recertification Application Form February 2015 1