Get Printable Registration Form - Usf Health Continuing Professional ... - Cme Hsc Usf

Filling out the Printable Registration Form for USF Health Continuing Professional Development is a straightforward process. This guide will help you navigate through each section and field of the form, ensuring you complete it accurately and efficiently.

Follow the steps to fill out the registration form correctly.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin with the ‘Name’ field. Enter your full name as you would like it to appear on official documents.
3. For the ‘Gender’ section, select your gender by marking either 'Male' or 'Female'.
4. In the ‘Date of Birth’ field, input your birthdate in the format MM/DD.
5. Choose your professional title by selecting from the options available: MD, DO, ARNP, or Nurse.
6. Fill in your ‘Specialty’ if applicable, followed by your complete address, including city, state, and zip code.
7. Provide details about your county, daytime phone number, fax number, and email address.
8. In the section labeled ‘Burning Question’, write a specific question you would like faculty to address during the program.
9. Check all applicable boxes for your affiliation with USF Faculty, LCE Preceptor, USF College of Medicine Alumni, Community Physician, or other.
10. Indicate your registration fee and choose the course title you will be attending that meets the requirements for your current renewal.
11. Select the method of payment. If using a credit card, enter the card type, number, expiration date, and security code.
12. Review all entered information for accuracy before proceeding.
13. Once the form is complete, you may save changes, download it for your records, print, or share the completed form as needed.

Complete your registration by filling out the form online today.