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. Rush requests can be fulfilled for $10 more. 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.
Please note: IHS processes all requests within 1 week ($10 rush requests within 72 hours). Be sure to check your spam/junk folder for emails from IHS. For best results, add "ihsinfo.org" to your email provider's "whitelist."
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
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

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Payment Method

Visa Mastercard Discover American Express
Name on Card

First Name Last Name
Card Number
Expiration Date
Security Code
Please verify that you are human *
Should be Empty: