CE Credit 2019: Geriatric Healthcare Telehealth Series - April-June

April-June 2019 | 15.0 contact hrs | 3.0 pharmacology hrs*
19900-JP-02 | Seattle | $45 processing fee

DIRECTIONS: Submit this form to the course coordinator at the activity. Successful completion requires completion of all required activities and an evaluation. A link to your certificate will be emailed to you within four weeks.

 

PLEASE PRINT CLEARLY. ALL INFORMATION IS REQUIRED.

 

Name________________________________ Highest Degree__________ Mobile Phone____________________

Address (City, State, ZIP)____________________________ Agency Name _______________________________

Email Address____________________________Your Profession or Specialty _____________________________

 

ATTESTATION OF ATTENDANCE (Required for your certificate)

I successfully completed this activity and earned ________ contact hours. (Maximum you can claim is 15.0.)

Date of Activity Completion_________ Location (City, State)_____________________________

Your Signature__________________________________ Date___________________________

*Pharmacology hours at the advanced practice level.

 

 

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UW Continuing Nursing Education / UWCNE.org / 206-543-1047 / cne@uw.edu