User account

Username *

Spaces are allowed; punctuation is not allowed except for periods, hyphens, apostrophes, and underscores.

E-mail address *

A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.

Password Requirements

Password must contain at least one uppercase character.
Password must be at least 7 characters in length.
Password must not contain the username.
Password must contain at least one digit.

Provide a password for the new account in both fields.

Password *

Confirm password *

Profile

Location

Street *

Additional

City *

Country *

Postal code *

Professional Information

Credit Eligibility *

Select the credit type(s) for which you are eligible and would like to receive credit.
If you select "None," you will be provided a Continuing Education Units (CEU) certificate.

Not all credit types are available for every activity/course.

State License and Specialty Boards 1. State License ID: Select the state(s) where you hold your professional license(s) and enter your lD Number. 2. Pharmacy Credit: Select "National Association of Boards of Pharmacy" and enter your NABP number. 3. Maintenance of Certification Credit (MOC) credit: Select your Board(s) and enter your unique Board ID number. By providing this information, you give UW-Madison ICEP permission to report your completion information to your respective state(s) and board(s).		Order
	State License or Specialty Board Select a board or license type from the list. License ID or Board ID Enter your board or license ID.	Weight for row 1

Primary Specialty

Mobile settings

Domestic US Mobile Numbers only. Enter a 10-digit mobile phone number, excluding any dashes, parentheses, or spaces. Your mobile phone number may be used to record your attendance at Grand Rounds and other selected activities. This number will not be distributed without your consent.

VERIFICATION REQUIRED: Once you click "Create new account" below, check your email for instructions to verify your mobile number. You will use the Mobile tab to enter the code that was sent to your phone.

NOTE: If you have an international number, or do not have a mobile number, enter any ten-digit number (e.g., your landline number) to bypass this required field. You will not be able to use the attendance text-in feature used for many of our activities, but you will be able to mark attendance online.

Phone number *

Country

Locale settings

Time zone

Select the desired local time and time zone. Dates and times throughout this site will be displayed using this time zone.

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UW–Madison ICEP

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