CHIMSS (Colorado HIMSS Chapter) INTEROPERABILITY & FHIR Thursday, October 15, 2015 Golden, CO Below are the sessions that qualify for CPHIMS or CAHIMS continuing education (CE) hours. Check the column for all sessions attended and total the number of hours earned each day. At the end of “” the form, total the number of hours earned for the entire event. Do not send this form to HIMSS. Retain this form for your records. You will need to provide a copy of this form if selected for an audit when renewing your certification. Eligible Session () Hours INTEROPERABILITY & FHIR 2 Dave Bove, Children’s Hospital Colorado Total Continuing Education hours earned for this event (max = 2) __________ I am claiming credits to renew my: CPHIMS □ CAHIMS □ I attest that I have attended all the sessions indicated above in their entirety. Printed Name Certificate Number Signature Date
CHIMSS (Colorado HIMSS Chapter) INTEROPERABILITY & FHIR Thursday, October 15, 2015 Golden, CO Below are the sessions that qualify for CPHIMS or CAHIMS continuing education (CE) hours. Check the “” column for all sessions attended and total the number of hours earned each day. At the end of the form, total the number of hours earned for the entire event. Do not send this form to HIMSS. Retain this form for your records. You will need to provide a copy of this form if selected for an audit when renewing your certification. Session Eligible Hours () INTEROPERABILITY & FHIR Dave Bove, Children’s Hospital Colorado 2 Total Continuing Education hours earned for this event (max = 2) __________ I am claiming credits to renew my: □ CPHIMS □ CAHIMS I attest that I have attended all the sessions indicated above in their entirety. Printed Name Certificate Number Signature Date
10_15_15%20Program%20CEU%20form.docx