American Association of Nurse Anesthetists

Friday, November 20, 2009




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Adobe Acrobat Reader is required to view the PDF (portable document format) files. To download the Adobe Acrobat Reader program, click on the icon above.


2004 Continuing Education Applications
Now Available in Interactive PDF Format

The CE Department is pleased to provide a way to complete and return selected CE applications by computer using interactive PDF (portable document format) files. You must have Adobe Acrobat 5.0 in order to view the files.

You can request the following applications as PDF forms from the person listed on the right of the chart that follows, or you can do one of the following:

1. Open the form by double clicking on the PDF link below, fill it out on-line, print it and then send it via mail or fax.

2. Download the form to your local computer by right-clicking on the PDF link below the form number, fill it out on-line, print it and then send it via mail or fax.

3. Open the PDF file, print it, fill it out by hand and then send it via mail or fax.

4. If you wish to send this form via e-mail, you must have the full version of Adobe Acrobat, since the file must be saved in your local computer before you can e-mail it.

NOTE: You must have the Adobe Acrobat Reader 5.0 program on your computer in order to view PDF files.  If you do not have this free program, click on the icon to the left.

Once you have completed the PDF form, you can email or fax it to the person listed on the right of the chart that follows.  You can also print a copy to mail to the AANA CE Department.

Remember, you must mail additional materials and any required fees in order to complete the processing of your application or form.

Application

Contact

Form 2004-1
Prior Approval Application
This application can be sent by fax or e-mail to Ann Carlson (see contact info at right). Remember that you still need to send the remainder of the materials, including the approval fee, in order for the processing to be completed.

 


Ann Carlson

ph: 847-692-7050,
ext. 1190
fax: 847-692-7082
acarlson@aana.com
Form 2002-9
Download and complete both forms.

Program Outline

Documentation Form


Ann Carlson
ph: 847-692-7050,
ext. 1190
fax: 847-692-7082
acarlson@aana.com

 

Form 2004-1A
Prior Approval Attendance Record
This application can be sent and received directly via e-mail.

 


Judy Bramlett
ph: 847-692-7050,
ext. 1195
fax: 847-692-7082
jbramlett@aana.com

 

Form 2004-5
Individual Nonprior Application
This application can be sent by fax or e-mail to Ann Carlson (see contact information at right). Remember that each application needs additional materials to be submitted in order for the processing to be completed.

 


Ann Carlson
ph: 847-692-7050,
ext. 1190
fax: 847-692-7082
acarlson@aana.com
Form 2002-8
New Clinical Anesthesia Experience Application
This application can be sent by fax or e-mail to Ann Carlson (see contact information at right). Remember that each application needs additional materials to be submitted in order for the processing to be completed.

 


Ann Carlson
ph: 847-692-7050,
ext. 1190
fax: 847-692-7082
acarlson@aana.com

 

 


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