Audio Seminar/Webinar Sign-In Form
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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.

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First Name      
Last Name      
AHIMA 7-digit ID      
E-mail Address Ex.    
Daytime Area Code and Phone Number Ex. 312-555-4455
Title of Audio Seminar Coding Central Venous Access Devices - August 7, 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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