Georgia AAP: 2023 Immunization Quality Improvement Project (February - June)

Please provide us with the following information to enroll in the Childhood (19-35 month) QI Project. Our office will contact you as soon as possible to confirm your enrollment.

Question Title

* 1. Who is requesting to register for this project?

Name & Title:

Email Address: (required)

Practice/Organization:

Practice Address:

Contact Number:

Question Title

* 2. Select 2 additional members to complete your (QI) team, please include a lead physician, nurse/nurse practitioner, MA or other clinician, and an office manager.

Member #1 (Name/Title):

Email Address:

Member #2 (Name/Title):

Email Address:

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