IPU Provider Request Form

IPU Provider Request Form

CBIC's IPU Committee reviews and considers educational offerings for approval of IPUs. Please note: CBIC is not an accrediting body and approval is only awarded for the applied activity and is only valid towards IPUs and not any other forms of continuing education (ex: CME/CNE/CEU). Please direct questions to info@cbic.org.

Name of offering*

Offering Category*

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Event date

Website of activity (if applicable)

Domains covered:*

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Name of Organization*

Your name*

Email address*

Please provide any additional information

Attestation*

The approval of IPUs refers to the recognition of the educational activity only and does not imply endorsement of any commercial product. The applicant attests that this offering is a pure scientific session, that no promotion(s), product(s), or service(s) will be mentioned or discussed prior to, during, or after the session. The content will not be altered and will be provided as described within the application. No product or session will be promoted using the CBIC IPU Seal. Please check the box below to attest to this statement.

Form Date Field

Syllabus/Course Outline (if applicable)

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