Official IHS Continuing Education Transcript Request Form

Official IHS Continuing Education Transcript Request Form

IHS offers its members a free benefit to help keep track of continuing education credits. Non-members can receive the report for a $25 fee. This transcript serves as verification of the continuing education courses for the time period requested. Only courses approved by the International Hearing Society and its education committee, the International Institute for Hearing Instruments Studies, will appear on this transcript. Requests are filled on a weekly basis.
Name *

First Name Last Name
Company Name *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number *

Area Code Phone Number
Fax Number

Area Code Phone Number
Email *
example@example.com
Last 4 Digits of SS/SI Number *
Date Range: The report will run using these date parameters. For example, 01/01/2019 to 12/31/2019 will report all of the courses for the 2019 calendar year. *

Month Day Year
Start Date
*

Month Day Year
End Date
How would you like to receive your CE Transcript? *

Email Fax Mail (USPS)
Payment (Note: IHS membership will be verified.) *

IHS Member: $0 Non-member: $25
Optional: Rush request, $10. (Rush requests are filled within 72 hours.)

Yes, charge an additional $10

IHS Member

Free

Non-member

$ 25.00

Optional: Rush request (Rush requests are filled within 72 hours.)

$ 10.00

Total

$ 0.00