EPIC Immunization Webinar Registration Form

Please provide us with the following information to register for the scheduled webinars. We are limiting the participation to only 5 practices per webinar. Our office will contact you as soon as possible to confirm whether or not your practice was registered and supply you with the link to join the webinar.

Question Title

* 1. Select which "live" webinar(s) your office would prefer below:

April Webinars Upcoming Soon! Please request a program here: https://www.surveymonkey.com/r/EPICImmRequest

Question Title

* 2. Who is requesting to register for this webinar?

Name & Title:

Email Address: (required)

Practice/Organization:

Contact Number:

Thank you and we look forward to providing you with this virtual educational opportunity!
If you have any questions, please contact EPIC Immunization Program Coordinator, Shanrita McClain at smcclain@gaaap.org.

To view recorded webinars and receive enduring education credits visit the Georgia AAP EPIC Immunization Resource Page. Click Here