CRSN / RRAVCC - CRSN / RRAVCC

AlphaFIM® Credentialing

Please indicate using the drop-down menu below, the session for which you wish to register.

Please note: Completion of the e-Learning module is optional for recertification. If you wish to complete the credentialing test only, you may indicate this as your choice.

Terms and Conditions

There is no fee for the Lunch and Learn sessions
Payment of $45 to the CRSN will be requested from your department manager for the cost of the credentialing test.
To complete registration, fill in the information below in full. An asterisk (*) indicates a required field.
A confirmation email with supporting documents and information will be emailed after registration has been received by our registrar.

Please choose your Session:*

You must pick one of the listed options

Please be sure to CLICK on your selection. Registration will be void if this choice is not properly made.

Registrant's Last Name*

Please supply Registrant's last name

^{Last (or family) name of person being registered}

Registrant's First Name*

Please supply the registrant's first name

^{1st (or given) name of person being registered}

Registrant's Work Email*

Please supply your email address

^{Enter the work email of person being registered}

Repeat Email*

Please supply your email address

^{Please enter the same email address again}

2nd Email if desired

Please supply your email address

^{Enter another email address}

Practice site*

please supply the name of the site where you work

^{Please indicate the name of the hospital or organization that you work for.}

Discipline or position*

Please supply the registrant's discipline or position and click to submit

^{The registrant's discipline or position within the Health Care System.}

It is *required* that you choose one item from each of the drop-down boxes below. All choices MUST be made in order for registration to be accepted.

Years in Practice*

Please choose from one of the values listed

Number of years the applicant has worked professionally in health care.

Years working with Stroke Survivors*

Please choose from one of the values listed

Number of years the applicant has worked professionally with stroke survivors.

First Name of Manager or Scheduler*

Please supply the name of your Manager or Scheduler

Please provide the first name of Manager, Shift Scheduler, or Edu Coordinator

Last Name of Manager or Scheduler*

Please provide the last name of Manager, Shift Scheduler, or Edu Coordinator

Manager Email*

^{Email of Manager listed above}

Acknowledgement of Terms*

I agree to the terms as listed above

Please Check to indicate that you acknowledge the terms of this agreement.

Click to submit registration

Once registration is received at CRSN, the participant will receive an email confirming their registration. Participants will also receive reminder emails before each session.

You must pick one of the listed options

Please supply Registrant's last name

Please supply the registrant's first name

Please supply your email address

Please supply your email address

Please supply your email address

please supply the name of the site where you work

Please supply the registrant's discipline or position and click to submit

Please choose from one of the values listed

Please choose from one of the values listed

Please supply the name of your Manager or Scheduler

Please Check to indicate that you acknowledge the terms of this agreement.

What's New

Contact Us

Champlain Regional Stroke Network

Phone:

Stroke Prevention Clinic Phone:

You must pick one of the listed options

Please supply Registrant's last name

Please supply the registrant's first name

Please supply your email address

Please supply your email address

Please supply your email address

please supply the name of the site where you work

Please supply the registrant's discipline or position and click to submit

Please choose from one of the values listed

Please choose from one of the values listed

Please supply the name of your Manager or Scheduler

Please Check to indicate that you acknowledge the terms of this agreement.

What's New

Contact Us

Champlain Regional Stroke Network

Phone:

Stroke Prevention Clinic Phone:

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