OPA-MCE Provider Forms and Applications

OPA-MCE Provider Forms*
•   Attendance Sheet – printable version (use this version if you wish to print and complete the attendance sheet by hand)
•   Attendance Sheet – electronic version (use this version if you wish to complete the attendance sheet in Microsoft Word before printing/submitting it to OPA-MCE)
•   Distance Learning Notification Form
•   Certificate Template – coming soon!

*The Course Notification Form and Attendance Sheet have been combined for 2012-14. Use only the Attendance Sheet above and fill it out COMPLETELY.
*The Grand Rounds Notification Form and Attendance Sheet have been combined for 2012-14. Use only the Attendance Sheet above and fill it out COMPLETELY.

 

 

Provider References and Resources
•   Provider Quick Review
•   Provider Policies & Procedures Manual
•   Purchasing a Mailing List
•   Ethics Requirement
•   Key Terms
•   Instructions for Posting on the MCE Calendar

Approved Providers
•    List of OPA-MCE Approved Providers

Provider Renewal Applications for the 2014-16 Biennium
(Sept. 1, 2014 – Aug. 31, 2016)
Note: Both the Application and Agreement MUST be submitted.
•    2014-16 Provider Renewal Application
•    2014-16 Provider Renewal Agreement

One-Course Provider Renewals: use the NEW One-Course Provider Application and Agreement below.

New Provider Applications for the 2012-14 Biennium
(For courses given Sept. 1, 2012 – Aug. 31, 2014)
Note: Both the Application and Agreement MUST be submitted.
•    2012-14 Full Provider Application
•    2012-14 Full Provider Agreement
•    2012-14 One Course Provider Application
•    2012-14 One Course Provider Agreement

Download Provider Forms Below

2012-14 OPA-MCE Attendance Sheet - Electronic
2012-14 OPA-MCE Attendance Sheet – Electronic
OPA-MCE 2012-2014 Attendance Sheet Electronic.docx

19.2 KiB
424 Downloads
Details…
2012-14 Distance Learning Notification Form
2012-14 Distance Learning Notification Form
OPA-MCE 2012-2014 Provider Distance Learning Notification Form.DOC

221.5 KiB
173 Downloads
Details…
OPA-MCE 12-14 Full Provider Application
OPA-MCE 12-14 Full Provider Application
OPA-MCE 2012-2014 Provider Application.doc

211.0 KiB
399 Downloads
Details…
OPA-MCE 12-14 Full Provider Agreement
OPA-MCE 12-14 Full Provider Agreement
OPA-MCE 2012-2014 Provider Agreement.doc

197.5 KiB
312 Downloads
Details…
	OPA-MCE 12-14 One Course Provider Application
OPA-MCE 12-14 One Course Provider Application
OPA-MCE 2012-2014 One Course Provider Application.doc

209.0 KiB
408 Downloads
Details…
OPA-MCE 12-14 One Course Provider Agreement
OPA-MCE 12-14 One Course Provider Agreement
OPA-MCE 2012-2014 One Course Provider Agreement.doc

198.0 KiB
324 Downloads
Details…
 

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