SFFM Wave 3 Registration SFFM Wave 3 Registration Name * Credentials Email Address * Practice/Organization * Address * Appox # of infants seen in your practice per week for well visit * Do you currently screen infants for smoke exposure? YesNo Phone Number * Are you seeing QI Board Specific Accreditation * YesNo How did you hear about the program? * If you are human, leave this field blank. Submit
