SITE REGISTRATION    *Required Fields

*

*

*

*

*

*

*

*

*

*

*

*

*

*

*

Verify Registration

(Please enter the code to verify registration.)

captcha


ADDITIONAL INFORMATION

Please complete the registration information on this page. The mandatory fields are marked with a red asterisk. Please use a valid email address as this will be used when we send your Certificate of Completion. Please create a password that you can recall at a later time and record it for later reference. Your information will remain private and will not be sold or used for other purposes. You may use the "Contact Us" button on the left side of the page should you have problems or questions.

NOTE: It is important to register with your office address to receive appropriate notice if your State Board has not approved a course in your specific practice location.
Existing