Audio Seminar Sign In Form
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To receive your AHIMA CEUs and/or ANCC Nursing Contact Hours for the attending the audio seminar, you must complete and submit this form. This will ensure that your completion data is maintained by AHIMA for CEU tracking and reporting purposes. After you submit this tracking 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      
ANCC Member ID      
E-mail Address Ex. student@yahoo.com    
Daytime Area Code and Phone Number Ex. 312-555-4455
   
Title of Audio Seminar HIPAA Security: What Everyone Should Know - January 17, 2008      
Date Seminar was Completed      
     
 

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American Health Information Management Association
233 N. Michigan Ave., 21st Floor
Chicago, IL 60601

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