Yes, absolutely! A renewal costs the same low price as a first-time CA recommendation, just $39. You can complete the entire process totally online. It takes about 5 minutes to sign up with your information and another 5 minutes for your phone consultation with the doctor. After that you'll be issued an electronic recommendation immediately, which you can use the same day, and you'll receive the official paper copy (which is signed and embossed by the doctor) within 5-7 business days later via standard mail. And don't worry about uploading your past recommendation; you can just let the doctor know you're renewing once you have them on the line.