IAFP Non-Pharmacologic Pain Management PI Registration form

Non-Pharmacologic Pain Management Education Performance Improvement

REGISTRATION

Please complete this form to indicate your interest in completing the IAFP Non-Pharmacologic Pain Management PI project.

This project is free for physicians to complete

Funding for this project was made possible by a grant from the American Board of Family Medicine.

The Illinois Academy of Family Physicians (IAFP) oversees and manages the Non-Pharmacologic Pain ManagementEducation Performance Improvement project. This initiative aligns with the American Board of Family Medicine (ABFM) Performance Improvement standards and fulfills Meaningful Participation requirements.

CME Credit: The AAFP has reviewed Non-Pharmacologic Pain Management for Family Physicians Performance Improvement and deemed it acceptable for up to 20.00 Performance Improvement AAFP Prescribed credit(s). Term of Approval is from 03/20/2026 to 03/19/2028. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

ABFM Approval:This activity has been approved by the American Board of Family Medicine (ABFM) for Family Medicine Certification credit. Term of approval is for 02/17/2026 to 03/19/2028

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn twenty (20) Performance Improvement points in the American Board of Family Medicine (ABFM) Family Medicine Certification program.

Questions? Please contact Kate Valentine at kvalentine@iafp.com

Name*

First NameLast Name

Credentials *

ABFM Board ID *

ABFM Board IDs are 6 digits and being with a 1 or zero

AAFP member number

To claim and submit AAFP Prescribed credits

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email Address*

example@example.com

Phone Number

Please enter a valid phone number.

Start Date of Participation*

Date

Anticipated End Date of Participation*

Date

AIM - What are you trying to accomplish?*

Questions or Comments for IAFP staff

You are ready to begin! Please refer to and bookmark the Non-Pharmacologic Pain Management for Family Physicians Performance Improvement Project webpage for all the resources you need to complete your project.

Good luck!