Alliant Health Solutions c/o COE-NF Claim Credit & Evaluation Form

Alliant Health Solutions c/o COE-NF

Claim Credit & Evaluation Form

Please complete the following information and you will receive a certificate via email.

Instructions

Alliant Health Solutions is accredited to provide CME. CME is accepted by most organizations as equivalent to their CE categories. CME is available for most live and recordings of live programs. NAB does not award credit for recordings of live events.

Did you attend a live webinar or did you watch a recording?*

Please select if you are claiming credit for live or recordings of live programs below and the list of activities will populate below this question. Credits for recorded training sessions are only available for trainings that occurred in 2025.

Live (Attended an event at a scheduled time)

Recording (On Demand access via Vimeo)

COE-NF Live Training List*

Select or enter value

Which best describes you?*

Please select the certification or licensure that best matches - this will automatically route your submission to the correct CE certificate category.

NAB Registry ID:*

If you do not have your number, please look it up here: https://www.nabweb.org/ceregistryadmin - this number is needed to report your hours to NAB. Your NAB Registry ID - it starts with the letter R, e.g. R12345

You have selected 'Other' please fill in the description that best fits you*

Thank you for taking the time to share your thoughts with us. Please select the extent to which you agree or disagree.

I feel more confident being able to apply what I learned today (compared to how I felt before this session).*

Based on what you learned today, will you make changes to your practice?*

Yes

Not Applicable

Based on what you learned today, what do you intend to start doing, stop doing, or do differently?*

What is preventing you from making changes?*

If you attended the last session in this series, were you able to apply what you learned when you were back at work?*

Yes

N/A, this is my first session in this series

What were you able to apply?*

What barriers did you encounter?*

What are some of your concerns about implementing quality improvement initiatives? What would be most helpful to have in hand to combat those concerns?*

What is keeping you up at night (related to your job/role)?*

What educational topics or materials could we provide that would be most useful to you? What is missing from your toolkit currently?*

Please enter your name and credentials as they should appear on your certificate, and the email address where we should send your certificate.

First Name*

Last Name*

Your Credentials

(e.g. RN, MD, NHA, CNA, LPN, etc.)

Your Facility/ Organization*

What state do you work in?*

Select

Your Email Address*

By submitting this form you are attesting that you are submitting for credit commensurate with your participation in the activity.

Send me a copy of my responses

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