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| Online CME Course Registration Form |
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Before registering, please read about the Online CME Course program.
First Name: Last Name: MI:
Email address:
Street Address:
City:
State or Province: Zip Code:
Daytime Phone:
State of licensure(s): NA
License number(s):
Topic Selection:
Please note: PA State Board of Podiatry allows only 10 online credits for each 2-year license cycle.
CME001 Radiologic Overview of Joint Disease (1 credit)
CME002 Diabetes: Custom Molded Footwear (1 credit)
CME003 Geriatrics (2 credits)
CME004 Evaluation of the Diabetic Foot and Biomechanical Management (2 credits)
CME005 Biomechanical Balance Management for Diabetic Wounds (2 credits)
CME006 Recognition & Classification of Sagittal Plane Foot Deformity (2 credits)
CME007 Overuse Injuries in Athletes (1 credit)
CME009 Spectrum of Foot Orthoses (2 credits)
CME010 Radiology of Neuropathic Osteoarthropathy (1 credit)
CME016 Lower Extremity Wound Management (2 credits)
Total number of credits x $25/credit = payment $
To enroll, you may do one of the following:
1) Hit the Submit button at the bottom of the page to email the form
2) Print and complete the form then fax to 215-629-2378, attention Sue Grigley
3) Call in the above information to Sue Grigley at 215-625-5401
4) Print and complete the form then mail to: TUSPM - Cash Operations, 8th at Race Sts., Philadelphia, PA, 19107
Payment may be made by credit card via phone at 215-625-5401 or by check made out to "Temple University - SPM" and mailed to: TUSPM - Cash Operations, 8th at Race Sts., Philadelphia, PA, 19107 (please include a completed copy of this form if mailing a payment).
Once payment is received and you are enrolled, you will receive, via email, a username and password, with instructions.