The School of Sleep Medicine, Inc.

CME Certificate Replacement

Registration

SSM course participants (or those who have completed audio CME) who require name corrections to certificates after the initial printing or who wish to replace lost or damaged certificates may do so using this request form. There is a $50 processing fee for replacement certificates. Please fill out the information below exactly as you wish it to appear on your certificate.

Pay by credit card

Use the link below to pay now via credit card. You will fill out the request form during the checkout process.

CME Certificate Replacement
50.00
Quantity:
Add To Cart

Instructions for payment via check, money order, or wire transfer

For payment by check, money order, or wire transfer, please fill out the form below. To register and pay now via credit card, use the links in the left sidebar.

Name *
Name
Credentials *
Radio *
Please indicate the course for which you wish to register.
Address *
Address
Primary Phone *
Primary Phone
Secondary Phone
Secondary Phone
If “Other,” please specify:
Special Accommodations
Please check if you prefer vegetarian meals during the entire course.
Please check if you require special assistance.
Please specify the type of assistance you require.