PEDS Tool Training and Certification

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Account Registration



Account Registration
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First Name*
Last Name:*
Designation:
(MD, CPNP, etc...)		 
Practice Name 
Address:*
City:*
State:*
Zip Code:*
    Home     Office
Phone Number:*
Alternate Number: *
Medical License Number: *
* Our CME accreditor has requested this information for providers who are claiming CME credit.
NPI Number: *
* AHCCCS has requested this information to assure timely and accurate payment for providers receiving PEDS Tool Certification.
Email Address:*
Confirm Email Address:*
Password:*
Confirm Password:*
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