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Personal Information

Note: If you are completing this form for someone else please use this section for their information. You may enter another individual's billing information when purchasing products.

* ALL FIELDS WITH AN ASTERISK ARE REQUIRED.

Provide a password for the new account in both fields.
Jr., Sr., II, III, Etc.
Enter your name above, EXACTLY as it should appear on your certificates. This field will be locked and can only be changed by contacting IAME.

Contact Information

Note: If you are completing this form for someone else please use this section for their information. You may enter another individual's billing information when purchasing products.

We Can Submit Your CME For You

We are able to electronically submit your CME to certain organizations. If yours is included please fill out the following sections.

ARDMS / APCA

If you'd like us to send your CME records to ARDMS / APCA please complete both fields and check off your approval.

Please be sure you have entered your correct ARDMS / APCA number, and that you have entered your name exactly as it appears in your ARDMS / APCA record.

Cardiovascular Credentialing International

If you'd like us to send your CME records to Cardiovascular Credentialing International please complete both fields and check off your approval.

Please be sure you have entered your correct Cardiovascular Credentialing International number, and that you have entered your name exactly as it appears in your Cardiovascular Credentialing International record.

CME Gateway

If you'd like us to share your CME records with RSNA's CME Gateway please provide your ID number and check off your approval.

"Your online CME program is great!"

Nona Lomtadze-Siminiuc RDMS, Niagara Falls, Ontario, Canada