RPPEO - Elective CME Pre-Approval Request

Elective CME Pre-Approval Form

Ensure to enter your EHS# at the bottom of the form.
You may attach a file below to help support your request.

Title of CME Event(*)

Please enter paramedic's name.

Date of CME Event(*)

Please enter a valid date.

CME Hours Requested

Invalid Input

Education Methods

Invalid Input

Is the CME focused on low frequency, high acuity skills as a paramedic?

YES NO Invalid Input

What is the clinical value of this elective CME?(*)

Please provide the detail of your request.

What new knowledge will you gain?(*)

Please provide the detail of your request.

Please provide details

Please provide the detail of your request.

Have you participated in the same activity for CME in the past?

Invalid Input

how many years ago?

Invalid Input

Attach file

Invalid Input

EHSN

EHSN is a five digits number.

Name of person submitting(*)

Please enter your full name.

Email(*)

Please enter a valid email address.

Local: 613-737-7228 | Long Distance: 877-587-7736

Ottawa, 2475 Don Reid Drive, Ottawa, On, K1H 1E2
Kingston, 400-1471 John Counter Blvd, Kingston, ON, K7M 8S8