Account Registration - BCH Education

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New Account Registration

Name(Required)

First Last

Email(Required)

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Password(Required)

Requires strong password, minimally 11 characters if including upper and lower case letters, numbers and special characters. Less character variety requires more characters.

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Organization/Company(Required)

Profession(Required)

Athletic Trainer

Audiologist

Dentist

Dietician

Emergency Medical Technician

Exercise Physiologist

Fellow

Nurse

Nurse Anesthetist

Nurse Practitioner

Occupational Therapist

Optometrist

Osteopath

Pharmacist

Physician

Physician Assistant

Psychiatrist

Psychologist

Physical Therapist

Resident

Respiratory Therapist

School Nurse

Social Worker

Non-Clinical Professional

Speech Therapist

Non-clinical Profession(Required)

Administrator

Coach

Educator

Patients and their families

Paremedic

School Personnel

Student

Technician

Other

Primary Professional Degree (select all that apply)(Required)

ADN

APRN

ASN

ASW

AuD

BA in Psychology

BDent

BDS

BDsc

BM BCh

BM BS

BM ChB

Bpharm

BS in Psychology

BScPH

BSN

BSPh

BSPT

BSW

BS Respiratory Care

BSOT

CCLS

CCRN-BC

CNL

CNM

CNN

CNS

CPhT

CPNP

CPNP-AC

CRNA

DClinDent

DDent

DDS

DDSc

DMD

DMSc

DNE

DNP

DNSc

DPTSc

DScD

DScPT

DSW

FCPS

LCSW

LPN

LRCPE

LRCPSG

LRCSE

LVN

MA in Psychology

MB BCH

MB Bchir

MBBS

MCS

MBChB

MDent

MDentSci

MDS

MEd

MMed

MHA

MHPE

Mmed

MMilMed

MMSc

MPAS

MPH

MPharm

MPT

MS in Psychology

MSc

MScPH

MScPharm

MSD

MSE

MSM

MSN

MSN - Certified Midwife

MSN - Certified Registered Nurse Anesthetist

MSN - Certified Nurse Lead

MSN - Clinical Nurse Specialist

MSN - Nurse Practitioner

MSPh

MSPharm

MSPT

MSSA

MSW

NP-C

PA-C

PCS

PharmD

PharmDc

PhD

PhD in Dentistry

PhD in Psychology

PhD in Social Work

PsyD

PTA

RCP

RDN

RN-BC

RPh

ScDPT

SMF

Specialty and Subspecialty

Are you eligible for Maintenance of Certification Part II points credit?(Required)

Yes

Birth Month(Required)

Birth Day(Required)

ePID # - National Association of Boards of Pharmacy(Required)

AARC Membership # (American Association for Respiratory Care)(Required)

Please select the board(s) for which you are eligible.

Check all that apply:

American Board of Pediatrics

American Board of Internal Medicine

American Board of Anesthesia

American Board of Ophthalmology

American Board of Surgery

American Board of Otolaryngology–Head and Neck Surgery

American Board of Pathology

Please select the board(s) for which you are eligible.

Check all that apply:

American Board of Pediatrics

American Board of Internal Medicine

American Board of Anesthesia

American Board of Ophthalmology

American Board of Surgery

American Board of Otolaryngology–Head and Neck Surgery

American Board of Pathology

Board # - American Board of Pediatrics(Required)

Board # - American Board of Internal Medicine(Required)

Board # - American Board of Anesthesia(Required)

Board # - American Board of Ophthalmology(Required)

Board # - American Board of Surgery(Required)

Board # - American Board of Otolaryngology–Head and Neck Surgery(Required)

Board # - American Board of Pathology(Required)

Required Contact Information

Primary address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Optional Contact Information

Phone

Fax

Add Assistant Information

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Assistant Name

First Last

Assistant Email

Assistant Phone

Communications Preferences

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I do not wish to receive promotional emails about continuing medical education opportunities at Boston Children's Hospital.

Phone

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