Provider Name Lookup

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

Please enter your first and last names:

First Name

Last Name

Please choose one of the following modules:

I want to complete my Annual 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.)

I want to record my COVID19 Vaccination information - for Initial Appointments Only

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

Please enter your first and last names:

Please choose one of the following modules:

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