NESH Case-Based Alumni Course Enrollment Form « New England School of Homeopathy

NESH Case-Based Alumni Course Enrollment Form

IF you have signed up for a Case-Based Course for NESH Alumni, please complete the appropriate form below to finalize your enrollment depending on what you require for continuing education credits.

Verification of your course hours will require completion of Form #2 below. Read more about Continuing Education and Credentialing Hours for specifics on what’s available from NESH and which courses have received which pre-approval. All qualifying hours are for General CEs only and do not satisfy any special requirements such as pharmacy, etc.

Maintaining compliance for our NANCEAC accreditation requires more tracking on our end. As such, we very much appreciate your help in completing one of the two enrollment forms below as is appropriate for your needs.

FORM #1 is for anyone who does NOT require written verification of your hours for this particular course for any reason.

FORM #2: needs to be filled out if there is a chance you WILL/MIGHT want written verification of your hours for this course for any reason. If you do not have all the information on hand – wait to complete this until you do (as this form does not offer a “save and complete later” option).

**FORM #1 – complete this form IF you do NOT require written verification of your course hours. A*ll fields below are required except “Your Message”.***


What course are you signing up for? (precise course name not important)
Have you met the prerequisites to enroll in this course?
Have you already paid for this course?
Your Full Name
Professional Initials
Your Profession (and if relevant, what field of medicine)
Email Address
Street Address
City
State/District
Zip/Postal Code
Country
Phone Number
Your Message (if there is a choice of when to begin a course, note that here, along with anything else you want us to know)

**FORM #2 – completion of this form instead is REQUIRED if there is a chance you’ll want written verification of your course hours for any reason. All fields below are required except “Your Message” – write N/A for any fields that do not apply to you.**


What course are you signing up for? (precise course name not important)
Have you met the prerequisites to enroll in this course?
Have you already paid for this course?
Your Full Name
Email Address
Street Address
City
State/District
Zip/Postal Code
Country
Phone Number
Your Profession (and if relevant, what field of medicine)
Professional Initials
License or Registration Number
Governing body/bodies which regulates your license/certification
Will you require written verification from NESH of your hours for this course for ANY purpose? Yes/Maybe
What period of time does your license/certification renewal cover? AND how many continuing education (CE) hours do you still need to reach the total required for that time frame?
What is your renewal submission deadline?
Have you used NESH course hours for license/certification renewals in the past?
Your Message - provide any other relevant details (If there is a choice of when to begin a course, note that here as well, along with anything else you want us to know)

New England School of Homeopathy