Educational Request Form

The following form should be used to request a Healthmark speaker for your in-person live conference or virtual (webinar) event. This request may be from a national, state or local professional group or a Healthcare facility/department/system providing continuing education for staff. Dependent on the program (s) selected, our presentations are approved for CE credit through several organizations, such as IAHCSMM, CBSPD, California Board of Nursing, CBIC, ACI/AAMI, and ABCGN.

Healthmark can provide in-person or remote education on a wide-range of topics for events ranging from 1.0 hr. programs to full day offerings. We have several nationally-renowned speakers who can present on a variety of topics. Please complete the following form and a Healthmark educator will be in contact with you to review the program details.

Note: This form is not used to request a departmental CE program (in-service). Please visit the following link to request a Healthmark sales rep to give an in-service program in your facility. https://www.surveymonkey.com/r/inserviceform

Question Title

* 1. Facility/Group requesting:

Question Title

* 2. What date are you requesting the program for?

Date / Time

Date

Question Title

* 3. Location of the program requested:

Facility:

Address 1:

Address 2:

City:

State:

Zip:

Question Title

* 4. Contact information of requester:

Name

Email Address

Phone Number

*All programs Healthmark has to offer have IAHCSMM, CBSPD and Nursing CEU associated with them.
We have all-day meetings and one-hour programs to offer you:

ALL DAY MEETINGS:
College of Clean: 5-6 hours
This program covers everything associated with cleaning and cleaning equipment. Understanding the 10 factors of cleaning, manual cleaning, brushing, sonic cleaning, endoscope cleaning, automatic washers and cart washers.

Sterile Processing Revival: 5 hours
An all-day program covering team building topics, hot topics within the sterile processing area, tools of the trade that are used within the sterile processing department and updates on standards.

The Science of Reprocessing: 5-6 hours
A program that covers the who, what, where, when, why and how of various topics within sterile processing, leak testing scopes, peel pouching, and CHIP tips. (CHIP tips are Care Handling Inspection Prevention tips on topics ranging from using an insulator to enhanced visual inspection.)

College of Clean - Endoscope: 4-5 hours
A program focusing on all ranging topics dealing with Endoscopy.

ONE HOUR PROGRAMS:
Available on numerous topics related to the processing of medical devices (i.e. cleaning, brushing, hot topics, etc.)

Question Title

* 5. Would your facility prefer an all-day or one-hour program?

All-day

One-hour

Other