ALTCQI — Alliance for Long-Term Care Quality Improvement

ALTCQI · CQRMS Certification

2026 CQRMS Renewal Form

Back to CQRMS Certification

Please complete all fields below to submit your 2026 CQRMS Certification Renewal. Upon submission, your information will be sent directly to ALTCQI for processing. For questions, contact [email protected].

Personal Information

Contact Information

Certification Details

Renewal Fee Payment

Pay your renewal fee instantly via PayPal by scanning the QR code below, or send a check payable to ALTCQI to the address shown.

Scan to pay renewal fee via PayPal

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Pay by Check:

Make payable to ALTCQI and mail to:

P.O. Box 247
1655 N McFarland Blvd
Tuscaloosa, AL 35406

Renewal Fee: $100.00

For questions, contact [email protected]

Your information is sent securely to ALTCQI staff only.