BMW Online Learning Registration Form

Complete the form below for access to the BMW Online Learning Modules. For information on the modules, including presenters and objectives, access the eBrochure here!

Register for the BMW Online Learning Modules to learn about a variety of mental health topics and earn up to 10 hours of CME!

Users who complete at least 6 modules will be eligible to receive $25 in Amazon Gift Cards – Complete all 11 modules and receive an additional $25 in Amazon Gift Cards! Additionally, users who complete all 11 modules will be entered into the grand prize drawings: $100 on June 30, 2016 – 2 x $150 on December 1, 2016 – $300 on June 30, 2017! **Please note that due to sources of funding, Amazon Gift Cards will only be distributed to users from the state of Ohio in the future. 

One-Day Conference and Online Learning Flyer

Name *

First

Last Name *

Last

Credentials *

Practice/Organization *

City *

State * OhioAlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington, D.C. West VirginiaWisconsinWyoming

Email Address *

Are you already registered for a CCHMC extranet account? *

Yes

No

Not Sure

The BMW Online Learning Community is managed by the Biomedical Informatics (BMI) group at Cincinnati Children's Hospital. In order to reduce the creation of duplicate accounts, BMI has asked us to inquire about accounts that may already exist.

How did you find out about the BMW Online Learning Modules? (Check All That Apply)

BMW One-Day Conferences

National AAP Advertisement

Ohio AAP Today

Ohio Pediatrics (Ohio AAP Publication)

Personal Referral

OtherOther

Thank you very much for completing this registration form. To complete the process, press the "Submit" button.

Please note that you will receive a confirmation email upon submitting this form - please check your junk/spam folder, as many email providers will mark this email as spam/junk. In most situations you can expect to receive access to the BMW Online Learning Community within two (2) business days.

If you are human, leave this field blank.

The Building Mental Wellness Learning Collaborative is made possible by support and/or funding from: