Thank you for your interest in Continuing Education (CE) for Healthcare Professionals! Please fill out this form to the best of your ability. A CE Specialist will contact you to discuss further.

Contact Information:
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Please fill out this form to the best of your ability. If you are unsure how to complete something, you may leave it blank. A CE Specialist will contact you to discuss further.

General Activity Information
If you are planning a Regularly Scheduled Series (e.g., Grand Rounds, M&M, Journal Club, etc.), please use our RSS Request Form

NOTE: You selected Regularly Scheduled Series (RSS) as your activity type. Please fill out the RSS Request Form instead.

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Planning Committee

Names, email addresses, and credentials of people who are currently part of your planning process.

Note: UW-Madison ICEP will contact members of your planning committee to request a conflict of interest (COI) report upon approval of the activity.

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Select the topics below that will be included in the content of this activity: