Audio Seminar/Webinar Sign-In Form

To receive your AHIMA CEUs for the attending the audio seminar/webinar, you must complete and submit this form. After you submit this sign-in form, close this window and proceed to Box B to complete the evaluation and receive your Certificate of Completion.

YELLOW highlight areas indicate required fields.

First Name      
Last Name      
AHIMA 7-digit ID      
E-mail Address Ex. student@yahoo.com    
Daytime Area Code and Phone Number Ex. 312-555-4455
   
Title of Audio Seminar Wound Care Coding - April 24, 2008      
Date Seminar was Completed