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CME Pre-Approval Form

Submit a RequestEnsure to enter your ESH# at the bottom of the form.
You may attach a file below to help support your request.

Please enter paramedic's name.
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Please enter a valid date.
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Please provide the detail of your request.
Please provide the detail of your request.
Is the CME focused on low frequency, high acuity skills as a paramedic?
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Please provide the details of your request.
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Have you participated in the same activity for CME in the past?
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EHSN is a five digits number.
Please enter your full name.
Please enter a valid email address.
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