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3qIyV2wEf22vqQMPuAjP9tBAD9Ij7AvmDr9X6YyJGawiSfatm89LykDr3bsJRtUIe4ESG7JInSBDFmAYNExG6fJIIcnw

Motivational Interviewing Training

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First Name

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Last Name

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Please select the WebEx training you would like to register for:

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Tuesday, April 21st (9am - 11am) - This is reserved for Reinhardt University students

Thursday, April 30th (1pm - 3pm)

Thursday, May 21st (6pm - 8pm)

Thursday, June 11th (12pm - 2pm)

Thursday, June 25th (6pm - 8pm)

Thursday, July 16th (12pm - 2pm)

Thursday, July 30th (6pm - 8pm)

Thursday, August 13th (6pm - 8pm)

Thursday, August 27th (6pm - 8pm)

Thursday, September 10th (12pm - 2pm)

Thursday, September 24th (6pm - 8pm)

Thursday, October 8th (12pm - 2pm)

Thursday, October 22nd (6pm - 8pm)

Thursday, November 5th (12pm - 2pm)

Thursday, November 19th (6pm - 8pm)

Thursday, December 3rd (12pm - 2pm)

Thursday December 17th (6pm - 8pm)

I'd like to register for a training in 2021

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Stark Law Disclaimer: In order for Children's to meet Stark Law regulatory requirements that allow Children's to provide a limited amount of non-monetary compensation to physicians, we must note your participation in this CME activity at a value of $25 per credit hour. This amount will be applied to your non-monetary compensation allowance. No action is required on your part and you will be notified if you are nearing the limit by the physician education team. The total non-monetary compensation allowed for 2020 is $423.

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See training dates for this year.

See training dates for 2022.

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Please select the WebEx training you would like to register for:

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Tuesday, December 7th (12pm-1:30pm)

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Please select the WebEx training you would like to register for:

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Thursday, July 14th (12:00pm - 1:30pm)

Thursday, August 11th (12:00pm - 1:30pm)

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Stark Law disclaimer: For Children's to meet Stark Law regulatory requirements that allow Children's to provide a limited amount of non-monetary compensation to providers, we must note your participation in this CME activity at a value of $25 per credit hour. For physicians not employed by Children's Healthcare of Atlanta, this amount will be applied to your non-monetary compensation allowance. For advanced practice providers not employed by Children's Healthcare of Atlanta, the amount will be evenly distributed and applied to your delegating physician's non-monetary compensation allowance. No action is required on your part and you will be notified if you are nearing the limit by the physician education team. The total non-monetary compensation allowed for 2022 is $452. For questions related to compliance, please contact Tomica Holmes, Director, Compliance. For questions related to CME credit tracking, please contact Ashley Euler, Manager, Physician Education and Medical Libraries.

Credentials (Select all that apply)

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MD/DO Pediatrics

MD/DO Ped Sub

MD/DO Family Med

MD/DO OB/GYN

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Is this a private practice?

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Yes

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NPI Number

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Phone Number

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Would you like the Motivational Interviewing starter toolkit sent to your practice?

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Yes

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Please specify which toolkit(s) you would like sent to your practice.

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English toolkit

Spanish toolkit

Both English and Spanish toolkits

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Do you want CME credit?

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Yes

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Today's Date

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M-D-Y

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