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Imaging AI Certificate Program Resident Group Registration Form
Thank you for your interest in purchasing Resident Group Registration for RSNA's Imaging AI Certificate Program.
Prior to completing this form, please ensure you have completed the below pre-requiste:
Each resident must have completed a membership application and received confirmation from our membership department.
Resident membership applications are located
here
.
Please choose your appropriate Training/Student Membership.
After Completing this form:
A member of our Education Department will review this form and reach out to the main contact if there are any questions or concerns.
Once approved, RSNA will create an invoice and notify you by email. This payment is required prior to enrollment into the program.
For quickest processing, please pay with a credit card by calling RSNA Customer Service.
You can also pay by wire or check to RSNA 820 Jorie Blvd, Suite 200, Oak Brook, IL 60523-2251 USA. These will both add time to your order processing.
RSNA Customer Service
1-800-381-6660 (toll free US and Canada Only)
1-630-571-2670 (toll)
Once payment is received, each resident will be enrolled into the program(s) you have selected.
Each resident will receive a confirmation email notification with their login instructions. Each email with have the main contact cc’d for reference.
Please note
Learners will have access to the program for one year. As such, seats will not be transferred.
Please fill out your Program Director's information:
Program Director First Name
Program Director Last Name
Program Director RSNA Membership Number
Program Director Email Address
Program Director Phone Number
If different than program director, please enter all information for your main contact below:
First Name
Last Name
RSNA Membership Number
Email Address
Phone Number
Please select the program that this group registration is for:
Imaging AI Certificate Foundational Program Only
Imaging AI Certificate Advanced Program Only
Both Imaging AI Certificate Foundational and Advanced Programs
How many people are you enrolling, including your program director?
Up to 14
15+
Please download our excel
Imaging AI Resident Group Enrollment Form
. Attach this document once filled out completely, including your Program Director.
Drop files or click here to upload
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