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Georgia AAP: 2024 Childhood Immunization Quality Improvement Project (November 2024 - May 2025)
Please provide us with the following information to enroll in the Childhood (19-35 month) QI Project. Our office will contact you as soon as possible to confirm your enrollment.
*
1.
Who is requesting to register for this project?
(Required.)
Name & Title:
Email Address: (required)
Practice/Organization:
Practice Address:
Contact Number:
2.
Select 2 additional members to complete your (QI) team, please include a lead physician, nurse/nurse practitioner, MA or other clinician, and an office manager.
Member #1 (Name/Title):
Email Address:
Member #2 (Name/Title):
Email Address:
Thank you and we look forward to providing you with this virtual educational opportunity!
If you have any questions, please contact QI Project Manager, Olivia Hahnemann-Gilbert at ohahnemann-gilbert@gaaap.org.
