Organization Information

25% of survey complete.
Please ensure all required fields are completed and accurate. An incomplete registration will result in a delay in your organization receiving its letters(s).

Note: EH's and EP's will be eligible to receive an MU Certification Letter from MSDH once they complete their Registration of Intent.

EH's and EP's that are planning to send Immunization data to meet MU criteria must satisfactorily complete the MIIX Readiness Assessment Questionnaire in order to be placed in the MIIX Onboarding Waiting List and receive their letter.

Question Title

* 1. Does the registering Organization own and/or manage multiple clinics and/or facilities that will be included in this Registration of Intent?