Signed Code of Conduct

All DSHS Certifications/Authorizations expire after four years unless renewal requirements are met. To satisfy the signed code of conduct requirement:

  • Print the Code of Conduct

  • Read, sign and list all DSHS credential number(s) on the lines provided

  • Scan or take a picture of the full, signed document

  • Email it to

  • Once LTC acknowledges receipt of your signed code of conduct, that renewal requirement will be met.