CME Certificate Request for AAFP-Approved Recordings

Herbal Educational Services
Ashland, Oregon PH. 541-482-3016

To receive a continuing education certificate for AAFP approved recordings, please use the form below.

Directions:
1. Fill out all fields on the first page, then click "Next".
2. On page 2, enter each recording completed. Be sure to fill in the CE catalog code and the credits earned for each. Don't forget to rate the presentation!
3. When all recordings are entered, click "Submit" at the bottom of the page. You will receive your certificate by email within a few days. Use as many entries as needed to report your CE. If not all are needed, leave them blank.

Use as many entries as needed to report your CE. If not all are needed, leave them blank.

Name with credentials as it should appear on certificate *

License Type *

State where licensed to practice *

Name *

First

Last

Email *