2022 VMAP ECHO enrollment

2022 VMAP ECHO enrollment

Questions? Please contact us at projectecho@vmap.org. To learn more about VMAP, visit www.vmap.org
Name *

First Name Last Name Degree(s)
Email *
example@example.com
Sign me up for VMAP ECHO! *

VMAP ECHO 101 - 3rd Fridays, 12-1p - Feb to Dec 2022 VMAP ECHO 101 - 4th Fridays, 12-1p - Feb to Dec 2022
Primary Practice Location Name + Address *

Street Address

Street Address Line 2

City State

Zip Code
NPI
Specialty

OPTIONAL: Select one option below to register to claim CME credit for your participation. If no CME credit is needed, scroll down to "SUBMIT" your registration.

CME credits only Choose this option to receive up to 20 points of CME credit, based upon your participation. CME is available for all provider types.

$ 50

QI Project + CME credits Choose this option to participate in the VMAP ECHO Screening QI Project, which will qualify you for MOC-2 AND MOC-4 credits (up to 60 points).

$ 50

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Total

$ 0.00

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Or, you can email your headshot at your convenience to projectecho@vmap.org

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