Redefine Health Education - Intake Questionnaire

Primary Email*

First Name*

Last Name*

Company Name*

Phone*

Address Line 1*

City*

State / Province

ZIP / Postal Code*

Country*

Website

Which of the following best describes your current situation?*

Just gathering information about CEU approval

Need CEU approval, but have some questions

Ready to get approved ASAP!

Which professions do you need CEU approval for?*

PT

OT

Athletic Training (BOC)

Chiropractic

Other

How many courses are you seeking approval for?*

1 course = 1 single course with 1 format* OR 1 single course with multiple formats where each format has the same exact content, contact hours, etc.

*Formats: 1) live (in-person or virtual), 2) online self-study, 3) hybrid (synchronous and self-study combined)

1-2

3-5

6+

Do you anticipate adding more than 5 courses in the future?

Yes

Not in the current plan

Please type in each course title, the number of contact hours, and the states needed.

Example:

1) Manual Therapy of the Spine - 18 hours. TX, NY, OH, CA

2) Cardiac Cycle Physiology Review - 2 hours. OK, MD, MA, PA, FL

Describe your goals for CEU approval here

Include details like "we need all our courses approved in as many states as possible" or be more specific, eg. "we need course A approved in these states, course B approved in NY only" and so on.

Have a specific question or message? Leave it for us here!