Provider Name Lookup

This is the signup/login page for the Annual Influenza Provider Patient Safety Module,
the Specific Clinical Privilege Module, and the COVID19 Provider Patient Safety Module

Please enter your first and last names:

Please choose one of the following modules:

 I want to complete my COVID19 Provider Patient Safety Module requirements (record my COVID-19 Vaccination information or Request an exemption)
 I want to complete my Annual Influenza Provider Patient Safety Module requirements (TB Skin Test, Influenza Vaccination, Infection Control Test, etc.)
 I want to test for a Specific Clinical Privilege (Moderate Sedation, Fluoroscopy/C-arm, Deep Sedation in the ED, Immediate Use Steam Sterilization Policy, etc.)